SPACE CITY SMILES
NPI 1750879912
Clinic/Center - Dental in Houston, TX

Active since April 24, 2018
2415 BLALOCK RD., SUITE A, HOUSTON, TX 77080(832) 380-5149 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Space City Smiles NPPES

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

SPACE CITY SMILES (NPI 1750879912) is a healthcare organization registered as a dental in Houston, Texas and active in the NPI registry since April 2018. The organization lists Johnathan Phan, Manager, as its authorized official.

NPPES Registry Identity

NPI1750879912
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSPACE CITY SMILES
Location Address2415 BLALOCK RD., SUITE AHouston, TX 77080
Mailing Address2415 Blalock Rd., Suite AHouston, TX 77080 · (832) 380-5149
Organization SubpartNo
Authorized OfficialJohnathan PhanManager · (713) 363-1338
Enumeration DateApril 24, 2018
NPI 1750879912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2415 BLALOCK RD., Houston, TX 77080

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 Space City Smiles's NPI number?

The NPI number for Space City Smiles is 1750879912. It was assigned to this organization in the NPPES registry on April 24, 2018.

Where is Space City Smiles located?

Space City Smiles is located at 2415 Blalock Rd. Suite A, Houston, TX 77080. The listed phone number is (832) 380-5149.

What is Space City Smiles'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 Space City Smiles was last updated on April 24, 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.