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GREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA
NPI 1790199461
Clinic/Center - Oral and Maxillofacial Surgery in Beaumont, TX

Active since June 20, 2014
2929 CALDER ST STE 302, BEAUMONT, TX 77702(409) 832-2532(409) 832-3055 Get Directions Write a Review

NPPES record last updated: August 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Greater Beaumont Oral & Maxillofacial Surgery, Pa NPPES

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

GREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA (NPI 1790199461) is a healthcare organization registered as an oral and maxillofacial surgery in Beaumont, Texas and active in the NPI registry since June 2014. The organization lists Prashanth Ravi, Director, as its authorized official.

NPPES Registry Identity

NPI1790199461
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameGREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA
Location Address2929 CALDER ST STE 302Beaumont, TX 77702-1831
Mailing Address2929 Calder St Ste 302Beaumont, TX 77702-1831 · (409) 832-2532 · Fax (409) 832-3055
Phone(409) 832-2532
Fax(409) 832-3055
Organization SubpartNo
Authorized OfficialPrashanth RaviDirector · (231) 392-2500
Enumeration DateJune 20, 2014
Last NPPES UpdateAugust 6, 2014
✔ NPI 1790199461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License✔ Licensed in TX · 29763
Definition
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2929 CALDER ST STE 302, Beaumont, TX 77702
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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 Greater Beaumont Oral & Maxillofacial Surgery, PA's NPI number?

The NPI number for Greater Beaumont Oral & Maxillofacial Surgery, PA is 1790199461. It was assigned to this organization in the NPPES registry on June 20, 2014.

Where is Greater Beaumont Oral & Maxillofacial Surgery, PA located?

Greater Beaumont Oral & Maxillofacial Surgery, PA is located at 2929 Calder St Ste 302, Beaumont, TX 77702. The listed phone number is (409) 832-2532.

What is Greater Beaumont Oral & Maxillofacial Surgery, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Greater Beaumont Oral & Maxillofacial Surgery, PA was last updated on August 6, 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.