Healthcare Provider Details

I. General information

NPI: 1861310831
Provider Name (Legal Business Name): IMPERIAL SMILE FAMILY DENTISTRY AND IMPLANT CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2319 RAYFORD RD STE 100
SPRING TX
77386-4216
US

IV. Provider business mailing address

2319 RAYFORD RD STE 100
SPRING TX
77386-4216
US

V. Phone/Fax

Practice location:
  • Phone: 281-369-4786
  • Fax:
Mailing address:
  • Phone: 281-369-4786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. GEETHA HANCHANTE
Title or Position: OWNER DENTIST
Credential:
Phone: 574-387-9058