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CHILDRENS DENTISTRY OF BEAUMONT P.C. NPI 1861644601


NPI Information

NPI: 1861644601
Provider Name: CHILDRENS DENTISTRY OF BEAUMONT, P.C.
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
6755 PHELAN BLVD.
SUITE 32
BEAUMONT, TX
ZIP 77706
Phone: (409) 866-8886
Get Directions

CHILDRENS DENTISTRY OF BEAUMONT, P.C. is a periodontics dentist in Beaumont, TX. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. CHILDRENS DENTISTRY OF BEAUMONT, P.C. NPI is 1861644601. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6755 PHELAN BLVD.
SUITE 32
BEAUMONT, TX
ZIP 77706
Phone: (409) 866-8886

The provider's authorized official is Lee Ann Mcquade .
The authorized official title is Owner/pediatric Dentist and has the following contact phone number (409) 866-8886.

The enumeration date for this NPI number is 10/10/2008 and was last updated on 10/10/2008.


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
11223P0300XDentistPeriodontics20249TEXASYes

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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