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LA COSTA OF BEAUMONT PA NPI 1821446055


NPI Information

NPI: 1821446055
Provider Name: LA COSTA OF BEAUMONT PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3870 COLLEGE STREET
SUITE #200
BEAUMONT, TX
ZIP 77701
Phone: (972) 514-1689
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LA COSTA OF BEAUMONT PA 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. LA COSTA OF BEAUMONT PA NPI is 1821446055. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3870 COLLEGE STREET
SUITE #200
BEAUMONT, TX
ZIP 77701
Phone: (972) 514-1689

The provider's authorized official is Tien Dinh Phan .
The authorized official title is Dentist and has the following contact phone number (972) 514-1689.

The enumeration date for this NPI number is 5/27/2016 and was last updated on 10/25/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice22334TEXASYes

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: 4/28/2024

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