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
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 20249 (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.
Other periodontics providers in Beaumont
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.