| Signature Smiles Woodlands, PLLC | |
|
2400 Fm 1488 Suite 200 Conroe TX 77384 | |
| (713) 701-9845 | |
| (713) 673-8039 |
| Full Name | Signature Smiles Woodlands, PLLC |
|---|---|
| Speciality | Dentist |
| Location | 2400 Fm 1488 Suite 200, Conroe, Texas |
| Authorized Official Name and Position | Brian Paul Stanworth (OWNER) |
| Authorized Official Contact | 8323342476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Smiles Woodlands, PLLC 2400 Fm 1488 Rd Ste 200 Conroe TX 77384-4958 Ph: (936) 224-7007 | Signature Smiles Woodlands, PLLC 2400 Fm 1488 Suite 200 Conroe TX 77384 Ph: (713) 701-9845 |
| NPI Number | 1740641976 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 02/16/2026 |
| Certification Date | 02/16/2026 |
| Medicare PECOS PAC ID | 8729481312 |
|---|---|
| Medicare Enrollment ID | O20210814000199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740641976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
| 261QD0000X | Clinic/center - Dental | () | Secondary |
| Provider Name | Brian Stanworth |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548581358 PECOS PAC ID: 0941507685 Enrollment ID: I20201201000296 |
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