Organization · Type 2 NPI

Greater Beaumont Oral & Maxillofacial Surgery, PA

Oral and Maxillofacial Surgery Clinic/Center · Beaumont, TX

NPI number 1790199461 Active

Practice location

2929 Calder St Ste 302
Beaumont, TX 77702-1831

Fax (409) 832-3055

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112X29763 (TX)

Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

About NPI 1790199461

Greater Beaumont Oral & Maxillofacial Surgery, PA's National Provider Identifier is 1790199461, issued on Jun 20, 2014. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Beaumont, TX. The record was last updated on Aug 6, 2014.