DR. JOSEPH W PROVO III (NPI# 1487874400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487874400 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH W PROVO III |
| Credential | DDS |
| Practice Address |
1460 Ih 10 East Suite A Beaumont TX 77703 |
| Practice Telephone | 4098330261 |
| Practice Fax Number | 4098330543 |
| Mailing Telephone | 4098330261 |
| Mailing Fax Number | 4098330543 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 16452 | TX | Dental Providers |
| Street Address |
1460 IH 10 EAST SUITE A |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548687684 | Christie N Beaugh | Counselor | 2574 North 11th Street, Beaumont, TX 77703 | 2014-03-26 |
| 1366728040 | Beaumont Orthodontic Specialists | Dentist | 3954 Eastex Freeway, Beaumont, TX 77703 | 2011-10-26 |
| 1033395660 | Danari, Inc | Durable Medical Equipment & Medical Supplies | 2190 Eastex Freeway, Beaumont, TX 77703 | 2008-01-14 |
| 1801091848 | Catholic Charities of Southeast Texas | Counselor | 2780 Eastex Freeway, Beaumont, TX 77703 | 2007-06-19 |
| 1023134608 | Assisted Living Concepts Inc | Assisted Living Facility | 2910 Toccoa Road, Beaumont, TX 77703 | 2007-03-22 |
| 1134233059 | Golden Traingle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 4415 Jerry, Beaumont, TX 77703 | 2006-08-18 |
| 1225142144 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 6270 Carnation Dr, Beaumont, TX 77703 | 2006-08-18 |
| 1760588123 | Patrick Joseph Concannon | Radiologic Technologist | 2002 Holcombe Blvd, Houston, TX 77703 | 2006-09-15 |
| 1487214987 | Edalynn Roper | Home Health Aide | 4885 Detroit St, Beaumont, TX 77703-1416 | 2019-06-17 |
| 1225106339 | Nutrition and Services for Seniors | Home Delivered Meals | 4590 Concord Rd, Beaumont, TX 77703-1806 | 2006-11-30 |
| Find all providers in zip 77703 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215729 | Joseph Donatelli Morales | Dentist | 1610 E 2nd St, Beaumont, CA 92223-3166 | 2019-06-26 |
| 1154805117 | Andrea Moore Dental Corporation | Dentist | 1620 E 1st St Ste 200, Beaumont, CA 92223-3174 | 2018-09-17 |
| 1073004065 | Emily Anne Hicks | Dentist | 1595 Cornerstone Ct Ste B, Beaumont, TX 77706-4066 | 2018-05-24 |
| 1609302553 | Hassan Asghar | Dentist | 1110 Longfellow Dr # B, Beaumont, TX 77706-4820 | 2017-05-11 |
| 1629445333 | Wael Hamdan | Dentist | 6970 Firethorn, Beaumont, TX 77708 | 2015-08-28 |
| 1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1750775615 | Jasper Family Dental Pllc | Dentist | 860 S 11th St, Suite 101, Beaumont, TX 77701-3736 | 2015-03-27 |
| 1851785588 | Soumava Sen,dds, P.C. | Dentist | 3565 College St Ste B, Beaumont, TX 77701-4615 | 2015-03-19 |
| 1790194819 | Billy Eston Horton | Dentist | 3695 Fm 3514, Beaumont, TX 77705-7653 | 2014-08-04 |
| Find all providers in BEAUMONT | ||||
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| 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.