1. Home
  2. Directory
  3. Texas
  4. Conroe
  5. Clinic Center
  6. NPI Profile

GRAND CENTRAL DENTISTRY
NPI 1649787524
Clinic/Center - Dental in Conroe, TX

Active since January 02, 2018
600 S CONROE MEDICAL DRIVE, STE 104, CONROE, TX 77304(936) 666-4459 Get Directions Write a Review

NPPES record last updated: January 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Central Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND CENTRAL DENTISTRY (NPI 1649787524) is a healthcare organization registered as a dental in Conroe, Texas and active in the NPI registry since January 2018. The organization lists Shivani Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1649787524
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSMILE REVOLUTION PLLC
Location Address600 S CONROE MEDICAL DRIVE, STE 104Conroe, TX 77304
Mailing Address1835 Woodland Field Xing Apt 316The Woodlands, TX 77380-3855
Phone(936) 666-4459
Organization SubpartNo
Authorized OfficialShivani PatelOwner · (936) 666-4459
Enumeration DateJanuary 2, 2018
✔ NPI 1649787524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
600 S CONROE MEDICAL DRIVE, Conroe, TX 77304
Open in Google Maps ↗

Other Names 1

Doing Business AsGrand Central Dentistry

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Smile Revolution PLLC's NPI number?

The NPI number for Smile Revolution PLLC is 1649787524. It was assigned to this organization in the NPPES registry on January 2, 2018. The provider is doing business as Grand Central Dentistry.

Where is Smile Revolution PLLC located?

Smile Revolution PLLC is located at 600 S Conroe Medical Drive Ste 104, Conroe, TX 77304. The listed phone number is (936) 666-4459.

What is Smile Revolution PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Smile Revolution PLLC was last updated on January 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.