# SMILE MUSE DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smile Muse Spa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326847740
- **Authorized official:** DR. CORNELIUS DAVIS DHA (CFO)
- **Authorized official phone:** (501) 442-8585

## Contact information

- **Practice address:** 9705 TEHAMA RIDGE PKWY STE 149, FORT WORTH, TX 76177-7523
- **Practice address phone:** (214) 699-7451
- **Practice address fax:** (817) 887-5169
- **Mailing address:** 8305 SOUTHRIDGE CT, NORTH RICHLAND HILLS, TX 76182-8494
- **Mailing address phone:** (501) 442-8585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/10/2025
- **Last updated:** 08/13/2025