Provider Demographics
NPI:1053166116
Name:HOUSTON SMILES ORTHODONTICS
Entity type:Organization
Organization Name:HOUSTON SMILES ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAJIR
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHIMI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS MSD
Authorized Official - Phone:281-955-0380
Mailing Address - Street 1:11811 FM 1960 RD W STE 150
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3828
Mailing Address - Country:US
Mailing Address - Phone:281-955-0380
Mailing Address - Fax:281-955-0392
Practice Address - Street 1:11811 FM 1960 RD W STE 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3828
Practice Address - Country:US
Practice Address - Phone:281-955-0380
Practice Address - Fax:281-955-0392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty