Organization · Type 2 NPI

Childrens Dentistry of Beaumont, P.c.

Periodontics · Beaumont, TX

NPI number 1861644601 Active

Practice location

6755 Phelan Blvd., Suite 32
Beaumont, TX 77706

Mailing address

2435 FM 1406 Rd.
Winnie, TX 77665

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X20249 (TX)

Periodontics: 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.

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About NPI 1861644601

Childrens Dentistry of Beaumont, P.c.'s National Provider Identifier is 1861644601, issued on Oct 10, 2008. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Beaumont, TX. The record was last updated on Oct 10, 2008.