Beaumont Dental Group
Organization Active NPI General Practice Dentistry · Beaumont, CA
NPI 1457745002 · NPPES record last updated Mar 22, 2015
Key facts
- NPI
- 1457745002
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 64330 (CA)
- Legal business name
- BEAUMONT DENTAL GROUP
- Practice address
- 930 Beaumont Ave
Beaumont, CA 92223-1831 - Phone
- (951) 845-2200
- NPI assigned
- Mar 22, 2015
- Organization subpart
- No
Authorized official
- Name
- Anu Duckworth, DDS
- Title
- Owner
- Phone
- (909) 528-8556
Practitioners 1
-
Anu Chachad, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 64330 | CA | Yes |
Addresses
Primary practice location
930 Beaumont Ave
Beaumont, CA 92223-1831
Mailing address
930 Beaumont Ave
Beaumont, CA 92223-1831
Phone (951) 845-2200
Other providers in Beaumont, CA
- Mariah Michelle Barsi
- Omar J Bashir
- Melissa Linda Bautista
- Angela Beal
- Beaumont Chiropractic
- Beaumont Manor LLC
- Beaumont Radiology Services LLC
- Beaumont SNF Healthcare, LLC
- Beaumont Unified School District
- Beaver Medical Group LP
All providers in Beaumont, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.