Beaumont Smiles Youth Dentistry, Pllc

LBN: Beaumont Smiles Youth Dentistry, Pllc
Beaumont Smiles Youth Dentistry, Pllc is an health care organization with primary practice located at 3865 Phelan Blvd , Beaumont TX 77707-2243. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Beaumont Smiles Youth Dentistry, Pllc can be contacted via phone (409) 833-5497, or through Stump, Jenell via phone (615) 750-0343.

Contact Information

Primary practice address
3865 Phelan Blvd Beaumont TX 77707-2243
Phone: (409) 833-5497
Fax: (409) 833-5441
Website:
Map and Directions
Authorized official contact:
Name: Stump, Jenell
Phone: (615) 750-0343

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1982818498
LBN Legal business name Beaumont Smiles Youth Dentistry, Pllc
DBA Doing business as
Authorized official Stump, Jenell
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Jul 9th, 2014 - about 11 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 1982818498 NPPES
Texas MEDICAID 184854101

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