Individual provider · Type 1 NPI

Joseph W. Provo Iii, DDS

Dentist · Beaumont, TX

NPI number 1487874400 Active

Practice location

1460 Ih 10 East, Suite A
Beaumont, TX 77703

Fax (409) 833-0543

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X16452 (TX)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1487874400

Joseph W. Provo Iii, DDS's National Provider Identifier is 1487874400, issued on May 1, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Beaumont, TX. The record was last updated on Jul 8, 2007.