Healthcare Provider Details

I. General information

NPI: 1417875873
Provider Name (Legal Business Name): ADMIRE ENDODONTICS OF MANVEL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7318 RODGERS RD
MANVEL TX
77578-4800
US

IV. Provider business mailing address

7318 RODGERS RD
MANVEL TX
77578-4800
US

V. Phone/Fax

Practice location:
  • Phone: 281-936-8141
  • Fax:
Mailing address:
  • Phone: 281-936-8141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: MAGGIE MCCLAIN
Title or Position: TRANSITIONS MANAGER
Credential:
Phone: 860-269-0628