BEAUMONT SMILES YOUTH DENTISTRY, PLLC - NPI 1982818498

Q: What is Beaumont Smiles Youth Dentistry, PLLC's specialty?

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

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About Beaumont Smiles Youth Dentistry, Pllc NPPES

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

BEAUMONT SMILES YOUTH DENTISTRY, PLLC (NPI 1982818498) is a healthcare organization registered as a general practice in Beaumont, Texas and active in the NPI registry since May 2007. The organization lists Jenell Stump, Manager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1982818498

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBEAUMONT SMILES YOUTH DENTISTRY, PLLC

Location Address3865 PHELAN BLVDBeaumont, TX 77707-2243

Mailing Address16 Arcade Unit 198747Nashville, TN 37219-1994 · (615) 750-0343 · Fax (615) 986-1705

Phone(409) 833-5497

Fax(409) 833-5441

Organization SubpartNo

Authorized OfficialJenell StumpManager, Licensing & Credentialing · (615) 750-0343

Enumeration DateMay 10, 2007

Last NPPES UpdateJuly 9, 2014

✔ NPI 1982818498 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.

3865 PHELAN BLVD, Beaumont, TX 77707

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Other Identifiers 1

Medicaid184854101TX

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.

SMALL SMILES OF BEAUMONT, PC

Dentist (General Practice)