GULFSIDE DENTAL PORT ARTHUR PLLC


Address: 2780 Hwy 365, Suite C, Port Arthur, TX 77640
Phone: 4094339254

GULFSIDE DENTAL PORT ARTHUR PLLC (NPI# 1316325616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316325616
Entity Type Organization
Organization Name GULFSIDE DENTAL PORT ARTHUR PLLC
Practice Address 2780 Hwy 365
Suite C
Port Arthur
TX 77640
Mailing Address 2403 Lacy Ln
Carrollton
TX 75006-6514
Practice Telephone 4094339254
Enumeration Date 2015-05-07
Last Update Date 2018-10-29
Authorized Official Name MARY PU (VP OF FINANCE)
Authorized Official Telephone 9728693789
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Office Location

Street Address 2780 HWY 365
SUITE C
City PORT ARTHUR
State TX
Zip Code 77640

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275031676 Grupo Segovia Sc Specialist 101 Calle Primera Sur, Adolfo Lopez Mateos, Cozumel, QUINTANA ROO 77640 2018-01-31
1811495575 Total Care Medical, Pllc Clinic/Center 8035 Memorial Blvd Ste B, Port Arthur, TX 77640 2018-01-29
1750805586 Bv Continuing Care Center Ltd. Co. Skilled Nursing Facility 8595 Medical Center Blvd., Port Arthur, TX 77640 2017-08-02
1053840561 Centro Medico De Cozumel Sa De Cv General Acute Care Hospital Calle 1ra Sur No. 101 Adolfo Lopez Mateo, Cozumel, QUINTANA ROO 77640 2017-06-08
1306391719 Hector Trevino Dentist 2780 Fm 365, Port Arthur, TX 77640 2016-08-16
1962894782 Chris Hale Specialist/Technologist, Other 6361 Katy Av, Port Arthur, TX 77640 2015-03-03
1396157681 Jack 1 Foundation Inc. Day Training, Developmentally Disabled Services 235 Procter St., Port Arthur, TX 77640 2014-05-21
1205275054 Gulf Coast Health Center, Inc Clinic/Center 601 Rev Ransom Howard, Bldg B, Port Arthur, TX 77640 2013-06-14
1285909432 Costamed General Acute Care Hospital Calle Primera Sur No. 101, Cozumel, QR 77640 2012-03-20
1093941544 Lindsay Denice Shafer Audiologist 2501 Jimmy Johnson Blvd Ste 306, Port Arthur, TX 77640 2009-06-10
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083222392 Angel Ivan Rivera Dentist 2780 Highway 365 Ste C, Port Arthur, TX 77640-2191 2020-07-22
1366878753 Dr. Michael Scott Bartlett, Dds, PC Dentist 3140 Central Mall Dr, Port Arthur, TX 77642-8039 2013-09-18
1891035499 Port Arthur Smiles Inc Dentist 4997 N Twin City Hwy, Port Arthur, TX 77642-5845 2013-02-20
1891884235 Gregory Thomas Kunz Dentist 3707 N. Twin City Hwy., Port Arthur, TX 77642-2116 2006-10-12
1114543063 Neeva Himanshubhai Patel Dentist 4997 N Twin City Hwy, Port Arthur, TX 77642-5845 2020-06-16
1366072936 Teerthesh Jain Dentist 4997 N Twin City Hwy, Port Arthur, TX 77642-5845 2020-01-22
1881166692 Andrew Botrous Dentist 4997 N Twin City Hwy, Port Arthur, TX 77642-5845 2018-12-19
1265925739 Heather Nicole Rhodes Dentist 2548 Memorial Blvd, Port Arthur, TX 77640-2825 2018-06-10
1053833889 Maherin Momin Dentist 8035 Memorial Blvd, Port Arthur, TX 77640-7002 2017-07-13
1982134011 Alex Edgerly Dentist 3140 Central Mall Dr, Port Arthur, TX 77642-8039 2017-06-12
Find all providers in PORT ARTHUR

Competitor

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City PORT ARTHUR
Zip Code 77640

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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