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WEST END DENTAL GROUP PLLC NPI 1801105937


NPI Information

NPI: 1801105937
Provider Name: WEST END DENTAL GROUP, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6830 PHELAN BLVD
BEAUMONT, TX
ZIP 77706
Phone: (409) 860-9600
Get Directions

WEST END DENTAL GROUP, PLLC is a general practice dentist in Beaumont, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WEST END DENTAL GROUP, PLLC NPI is 1801105937. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6830 PHELAN BLVD
BEAUMONT, TX
ZIP 77706-970
Phone: (409) 860-9600
Fax: (409) 860-1704

The provider's authorized official is David O Olson .
The authorized official title is Dentist and has the following contact phone number (409) 860-9600.

The enumeration date for this NPI number is 10/7/2010 and was last updated on 2/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice21519TEXASNo
21223G0001XDentistGeneral Practice8553TEXASNo
31223G0001XDentistGeneral Practice10154TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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