Provider Demographics
NPI:1922536440
Name:SMILEPOINT ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:SMILEPOINT ORTHODONTICS PLLC
Other - Org Name:SMILEPOINT ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEETIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASTOGI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:713-623-1530
Mailing Address - Street 1:14623 HAMPTON GREEN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-5789
Mailing Address - Country:US
Mailing Address - Phone:281-328-4900
Mailing Address - Fax:281-476-7042
Practice Address - Street 1:14274 FM 2100 RD
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-9151
Practice Address - Country:US
Practice Address - Phone:281-201-6218
Practice Address - Fax:281-476-7042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-29
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX259681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty