| Beaumont Smiles Youth Dentistry, Pllc | |
|
3865 Phelan Blvd Beaumont TX 77707-2243 | |
| (409) 833-5497 | |
| (409) 833-5441 |
| Full Name | Beaumont Smiles Youth Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3865 Phelan Blvd, Beaumont, Texas |
| Authorized Official Name and Position | Jenell Stump (MANAGER, LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6157500343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaumont Smiles Youth Dentistry, Pllc 16 Arcade Unit 198747 Nashville TN 37219-1994 Ph: (615) 750-0343 | Beaumont Smiles Youth Dentistry, Pllc 3865 Phelan Blvd Beaumont TX 77707-2243 Ph: (409) 833-5497 |
| NPI Number | 1982818498 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 07/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982818498 | NPI | - | NPPES |
| 184854101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Beaumont Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 Dowlen Rd, Beaumont, TX 77706 Phone: 409-866-9541 Fax: 409-866-0622 | |
Nancy Endari D.d.s., P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2155 Dowlen Rd, Beaumont, TX 77706 Phone: 409-861-0100 Fax: 409-861-0105 | |
Andy Brian Duke, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3333 North St, Suite B, Beaumont, TX 77706 Phone: 409-838-3800 Fax: 409-838-0920 | |
Jerry L. Burd, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3555 Delaware St, Beaumont, TX 77706 Phone: 409-898-3388 Fax: 409-898-2673 | |
Caldwell & Singh, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2955 Harrison St Ste 103, Beaumont, TX 77702 Phone: 409-923-1602 | |
Charles E, Dyer Iii Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Longfellow Dr, Beaumont, TX 77706 Phone: 409-989-8923 Fax: 409-892-1960 | |
Affordable Dentures & Implants - Texas, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5892b Eastex Fwy, Beaumont, TX 77708 Phone: 409-892-2991 |