MEDICARE: ROYAL SMILES DENTISTRY 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	:	1841864139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL SMILES DENTISTRY PLLC

Provider Business Mailing Address
First Line	:	7062 LAWNDALE ST STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-4210
Country	:	US
Telephone Number	:	512-920-7949
Fax Number	:	713-565-3665

Provider Business Practice Location Address
First Line	:	7062 LAWNDALE ST STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-4210
Country	:	US
Telephone Number	:	512-920-7949
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. VENKATA SIVA PRASAD BANDI
Credential	:	DMD
Telephone Number	:	512-920-7949

Provider Enumeration Date	:	05/19/2021
Last Update Date	:	04/24/2026

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