P Praxis·MD
● Active Type 2 · Organization

Phantastic Smiles PA

Dentist·Pasadena, TX· NPI 1710438049 · Enumerated 2016 · 9 years on NPI
Phantastic Smiles PA is 1 of 15661 dentist organizations in Texas.
NPI age
9 years
Enumerated 2016-10-21
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Phan
President
Last NPPES update
2016-10-21
Source: monthly bulk 2026-05

How this organization compares

Across 15661 active dentist providers in Texas.

NPI age
9 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2016 → 2026

2016-10Enumerated in NPPES
2016 2026

Where they practice

Primary practice location
102 Fairmont Pkwy
Pasadena, TX 775042742
📞 7134730058
Mailing address
102 Fairmont Pkwy
Pasadena, TX 775042742

Authorized official

Minh Hong Phan, DDS
President
📞 7134730058

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    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.
    TX license #19016 taxonomy 1223G0001X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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