Altus Dental Surgery Center Beaumont

LBN: Altus Dental Surgery Beaumont, Pa
Altus Dental Surgery Center Beaumont is an health care organization with primary practice located at 390 N 11Th St , Beaumont TX 77702-1802. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Altus Dental Surgery Beaumont, Pa can be contacted via phone (281) 427-5100, or through Pahlavan, Poorang via phone (281) 427-5100.

Contact Information

Primary practice address
390 N 11Th St Beaumont TX 77702-1802
Phone: (281) 427-5100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pahlavan, Poorang Doctor of Dental Surgery (DDS)
Phone: (281) 427-5100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1164821286
LBN Legal business name Altus Dental Surgery Beaumont, Pa
DBA Doing business as Altus Dental Surgery Center Beaumont
Authorized official Pahlavan, Poorang Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2014
Last updated Aug 14th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164821286 NPPES
Texas MEDICAID 135073817
Texas MEDICAID 1880833

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