SMILE CONROE PA NPI 1265648984

NPI Information

  • NPI: 1265648984
  • Provider Name: SMILE CONROE, PA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Former Legal Business Name: KENNETH OSAMOR DDS PA
  • Address: 1002 N LOOP 336 W
    CONROE, TX
    ZIP 77301
  • Phone: (936) 760-3050

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NPI Details

SMILE CONROE, PA is a general practice dentist in Conroe, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SMILE CONROE, PA NPI is 1265648984. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Kenneth Osamor Dds Pa.

The provider's business location address is:

1002 N LOOP 336 W
CONROE, TX
ZIP 77301-829
Phone: (936) 760-3050
Fax: (936) 441-3068

The provider's authorized official is Kenneth Osamor .
The authorized official title is President and has the following contact phone number (936) 760-3050.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 2/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice21886TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1181571401MEDICAIDTEXAS
2181MEDICAIDTEXAS
321886OTHERTEXASLICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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