Beaumont Smile Center, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25675 Issued in TX

Legal business name

BEAUMONT SMILE CENTER, P.A.

Practice address

3560 Delaware St
Suite 102
Beaumont, TX 77706-3067

Phone

(713) 269-0446

NPI assigned

Jul 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Helene Suh, D.D.S.NPI 1073825238

Title

President

Phone

(409) 892-2600

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Helene Jaeyun Suh, DDS

  • General Practice Dentistry
  • Beaumont, TX
  • NPI 1073825238
  NPD (past) Authorized official
• Gerard A Cascio, D.D.S.

  • General Practice Dentistry
  • Beaumont, TX
  • NPI 1609888148
  NPD (past)
• Harrison Daniel Luke, D.D.S.

  • General Practice Dentistry
  • Beaumont, TX
  • NPI 1679026959
  NPD (past)

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1255686226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "SUITE 102",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063067",
            "telephone_number": "713-269-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 DELAWARE ST",
            "address_2": "SUITE 102",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777063067",
            "telephone_number": "713-269-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT SMILE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "SUH",
        "authorized_official_first_name": "HELENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-892-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADA",
            "identifier": "823347494",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "212340801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beaumont Primary Healthcare, PLLC
• Beaumont Psychological Services PC
• Beaumont Radiology Group, LLP
• Beaumont Recovery and Consulting, Inc.
• Beaumont Retina Consultant PA
• Beaumont Smiles Youth Dentistry, PLLC
• Beaumont SNF LLC
• Beaumont Speech and Language LLC
• Beaumont Spine Associates
• Beaumont Spine Pain and Sports Medicince

• General Practice Dentistry in Beaumont, TX
• Providers in Beaumont, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.