National Provider Identifier Database

GREATER BEAUMONT ORAL MAXILLOFACIAL SURGERY PA
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

GREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA
2929 CALDER ST STE 302
BEAUMONT, TX77702-1831
Phone: 409-832-2532
Fax: 409-832-3055
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for GREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA

NPI Number 1790199461
Legal business name
LBN
GREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA
Authorized official PRASHANTH RAVI - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/20/2014
Last updated 08/06/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 29763

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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