● Active Type 2 · Organization
Smile Revolution Pllc
Clinic/Center·Conroe, TX· NPI 1649787524
·
Enumerated 2018 · 8 years on NPI
Smile Revolution Pllc is 1 of 1762 clinic/center organizations in Texas.
NPI age
8 years
Enumerated 2018-01-02
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Patel
Owner
Last NPPES update
2018-01-02
Source: monthly bulk 2026-05
How this organization compares
Across 1762 active clinic/center providers in Texas.
NPI age
8 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2018 → 2026
2018-01Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
600 S Conroe Medical Drive, Ste 104
Conroe, TX 77304
📞 9366664459
Mailing address
1835 Woodland Field Xing Apt 316
The Woodlands, TX 773803855
Authorized official
Shivani Patel, DMD
Owner
📞 9366664459
Specialties
-
Clinic/Center
Primary
Definition to come...
taxonomy 261QD0000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Single-site organization. Only one practice location on file.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.