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ALTUS DENTAL SURGERY CENTER BEAUMONT
NPI 1164821286
Dentist - Pediatric Dentistry in Beaumont, TX

Active since August 14, 2014
390 N 11TH ST, BEAUMONT, TX 77702(281) 427-5100 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Altus Dental Surgery Center Beaumont NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALTUS DENTAL SURGERY CENTER BEAUMONT (NPI 1164821286) is a healthcare organization registered as a pediatric dentistry in Beaumont, Texas and active in the NPI registry since August 2014. The organization lists Poorang Pahlavan, Owner, as its authorized official.

NPPES Registry Identity

NPI1164821286
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameALTUS DENTAL SURGERY BEAUMONT, PA
Location Address390 N 11TH STBeaumont, TX 77702-1802
Mailing Address4508 Garth Rd, Suite ABaytown, TX 77521-2154
Phone(281) 427-5100
Organization SubpartNo
Authorized OfficialPoorang PahlavanOwner · (281) 427-5100
Enumeration DateAugust 14, 2014
✔ NPI 1164821286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
390 N 11TH ST, Beaumont, TX 77702
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Other Names 1

Doing Business AsAltus Dental Surgery Center Beaumont

Other Identifiers 2

Medicaid1880833TX
Medicaid135073817TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARUS IMAGING (BEAUMONT), LP
Clinic/Center (Radiology)
390 N 11TH ST
BEAUMONT, TX 77702
Jefferson County (409) 981-5500
OPREX SURGERY BEAUMONT, LP
Clinic/Center (Ambulatory Surgical)
390 N 11TH ST
BEAUMONT, TX 77702
Jefferson County (409) 981-5500
ANESTHESIA PREMIER SERVICES PA
Anesthesiology
390 N 11TH ST
BEAUMONT, TX 77702
Jefferson County (409) 981-5500
ZERENITY BEAUMONT, LP
Clinic/Center (Sleep Disorder Diagnostic)
390 N 11TH ST
BEAUMONT, TX 77702
Jefferson County (409) 981-5500
WINNIE COMMUNITY HOSPITAL, LLC
Clinic/Center (Ambulatory Surgical)
390 N 11TH ST
BEAUMONT, TX 77702
Jefferson County (409) 981-5500
WINNIE COMMUNITY HOSPITAL, LLC
Clinic/Center (Radiology)
390 N 11TH ST, SUITE 100
BEAUMONT, TX 77702
Jefferson County (409) 981-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Altus Dental Surgery Beaumont, PA's NPI number?

The NPI number for Altus Dental Surgery Beaumont, PA is 1164821286. It was assigned to this organization in the NPPES registry on August 14, 2014. The provider is doing business as Altus Dental Surgery Center Beaumont.

Where is Altus Dental Surgery Beaumont, PA located?

Altus Dental Surgery Beaumont, PA is located at 390 N 11th St, Beaumont, TX 77702. The listed phone number is (281) 427-5100.

What is Altus Dental Surgery Beaumont, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Altus Dental Surgery Beaumont, PA was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.