MEDICARE: MORE SMILES DENTAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1043172224
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORE SMILES DENTAL PLLC

Provider Business Mailing Address
First Line	:	501 MOORE AVE
Second Line	:
City	:	PORTLAND
State	:	TX
Zip	:	78374-1605
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 MOORE AVE
Second Line	:
City	:	PORTLAND
State	:	TX
Zip	:	78374-1605
Country	:	US
Telephone Number	:	361-643-7811
Fax Number	:

Authorized Official
Title or Position	:	OWNER DENTIST
Name	:	DR. GAURAV PURI
Credential	:	DR
Telephone Number	:	325-725-0236

Provider Enumeration Date	:	11/26/2025
Last Update Date	:	11/26/2025

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