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BEAUMONT SMILES DENTAL GROUP
NPI 1174774699
Dentist - General Practice in Beaumont, CA

Active since October 02, 2008
1620 2ND STREET MARKETPLACE, SUITE A, BEAUMONT, CA 92223(951) 769-9131 Get Directions Write a Review

NPPES record last updated: October 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beaumont Smiles Dental Group NPPES

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

BEAUMONT SMILES DENTAL GROUP (NPI 1174774699) is a healthcare organization registered as a general practice in Beaumont, California and active in the NPI registry since October 2008. The organization lists Andrea Moore, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1174774699
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMOORE DENTAL CORPORATION
Location Address1620 2ND STREET MARKETPLACE, SUITE ABeaumont, CA 92223
Mailing Address2860 Michelle, 2nd FloorIrvine, CA 92606-1009 · (714) 368-2084 · Fax (714) 368-2092
Phone(951) 769-9131
Organization SubpartNo
Authorized OfficialAndrea MooreOwner Doctor · (951) 769-9131
Enumeration DateOctober 2, 2008
Last NPPES UpdateOctober 20, 2008
✔ NPI 1174774699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1620 2ND STREET MARKETPLACE, Beaumont, CA 92223
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Other Names 1

Doing Business AsBeaumont Smiles Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Moore Dental Corporation's NPI number?

The NPI number for Moore Dental Corporation is 1174774699. It was assigned to this organization in the NPPES registry on October 2, 2008. The provider is doing business as Beaumont Smiles Dental Group.

Where is Moore Dental Corporation located?

Moore Dental Corporation is located at 1620 2nd Street Marketplace Suite A, Beaumont, CA 92223. The listed phone number is (951) 769-9131.

What is Moore Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Moore Dental Corporation was last updated on October 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.