Healthcare Provider Details

I. General information

NPI: 1740641976
Provider Name (Legal Business Name): SIGNATURE SMILES WOODLANDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2016
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 FM 1488 SUITE 200
CONROE TX
77384
US

IV. Provider business mailing address

2400 FM 1488 RD STE 200
CONROE TX
77384-4958
US

V. Phone/Fax

Practice location:
  • Phone: 713-701-9845
  • Fax: 713-673-8039
Mailing address:
  • Phone: 936-224-7007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN PAUL STANWORTH
Title or Position: OWNER
Credential: DDS
Phone: 832-334-2476