Beaumont Smiles Youth Dentistry, Pllc

NPI #1982818498 in Beaumont, Texas

Provider Information

NPI Number: 1982818498
Entity Type: Organization
Organization Name: Beaumont Smiles Youth Dentistry, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: May 10, 2007
Last Updated: Jul 9, 2014

Practice Location

Address: 3865 PHELAN BLVD
City: Beaumont
State: Texas
ZIP Code: 77707-2243
Phone: (409) 833-5497

Authorized Official

Name: MRS. JENELL STUMP
Title: MANAGER, LICENSING & CREDENTIALING
Phone: (615) 750-0343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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