GULFSIDE DENTAL
NPI 1609132612
Dentist in Beaumont, TX

Q: What is Gulfside Dental's NPI number?

The NPI number for Gulfside Dental is 1609132612. It was assigned to this organization in the NPPES registry on April 3, 2012.

Q: What is Gulfside Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Gulfside Dental was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 03, 2012

4179 DOWLEN RD, BEAUMONT, TX 77706(972) 869-3789(972) 869-3791 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Gulfside Dental NPPES

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

GULFSIDE DENTAL (NPI 1609132612) is a healthcare organization registered as a dentist in Beaumont, Texas and active in the NPI registry since April 2012. The organization lists Mary Pu, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1609132612

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameGULFSIDE DENTAL

Location Address4179 DOWLEN RDBeaumont, TX 77706-6852

Mailing AddressPo Box 734753Dallas, TX 75373-2880 · (972) 869-3789 · Fax (972) 869-3791

Phone(972) 869-3789

Fax(972) 869-3791

Organization SubpartNo

Authorized OfficialMary PuVp Of Finance · (972) 869-3789

Enumeration DateApril 3, 2012

Last NPPES UpdateJanuary 31, 2022

NPPES CertifiedJanuary 31, 2022

✔ NPI 1609132612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4179 DOWLEN RD, Beaumont, TX 77706

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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.

MONG-HIEN MORGAN NGUYEN

Dentist