NPIMap

Organization Active NPI

Affordable Dentures & Implants - Texas, PLLC

Doing business as Affordable Dentures & Implants - Beaumont North

  • General Practice Dentistry
  • Beaumont, TX
National Provider Identifier
1104150069
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - TEXAS, PLLC
Doing business as
Affordable Dentures & Implants - Beaumont North
Practice address
5892B Eastex Fwy
Beaumont, TX 77708-4824
Phone
(409) 892-2991
NPI assigned
Sep 25, 2009
Last updated
Aug 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Haley Wooster
Title
Enrollment Specialist
Phone
(712) 733-8551

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0021124 TX
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5892B Eastex Fwy
Beaumont, TX 77708-4824

Mailing address

5892B Eastex Fwy
Beaumont, TX 77708-4824
Phone (409) 892-2991

Other names 1

  • Affordable Dentures & Implants - Beaumont North Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dentures Implants - Texas PLLC42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

5892B Eastex Fwy
Beaumont, TX 77708
Phone (409) 892-2991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1104150069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5892B EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777084824",
            "telephone_number": "409-892-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5892B EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777084824",
            "telephone_number": "409-892-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "WOOSTER",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "712-733-8551"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0021124",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Beaumont North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.