Provo, Joseph W

Provo, Joseph W is an individual health care provider with primary practice located at 1460 Ih 10 East Suite A, Beaumont TX 77703. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Provo, Joseph W can be contacted via phone (409) 833-0261.

Contact Information

Primary practice address
1460 Ih 10 East Suite A Beaumont TX 77703
Phone: (409) 833-0261
Fax: (409) 833-0543
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 16452 Texas

Profile Details

NPI number 1487874400
LBN Legal business name Provo, Joseph W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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