SOUTHERN OAKS DENTAL CLINIC (NPI# 1720413271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720413271 |
| Entity Type | Organization |
| Organization Name | SOUTHERN OAKS DENTAL CLINIC |
| Other Organization Name | SOUTHERN OAKS DENTAL CARE |
| Practice Address |
2627 Calder St Beaumont TX 77702-1962 |
| Practice Telephone | 4098356257 |
| Mailing Telephone | 4098356257 |
| Mailing Fax Number | 4098356258 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2016-01-20 |
| Authorized Official Name | DR. JOHN JOSHUA SEALE (OWNER/DENTIST) |
| Authorized Official Telephone | 4098356257 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Southern Oaks Dental Care | Doing Business As Name - Organization |
| Street Address |
2627 CALDER ST |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205826344 | Maxie C Sprott II | Obstetrics & Gynecology | 2627 Calder St, Beaumont, TX 77702-1916 | 2005-10-27 |
| 1346852498 | Penny Waiyan Wong | Dentist | 2627 Calder St, Beaumont, TX 77702-1962 | 2020-08-20 |
| 1316025620 | Amber Michelle Templain-kuehn | Counselor | 2627 Calder St, Suite 200 B, Beaumont, TX 77702-1962 | 2006-11-02 |
| 1487739439 | Vida Keller Riston Rn, Cnm, PC | Clinic/Center | 2627 Calder St, Beaumont, TX 77702-1916 | 2006-10-26 |
| 1326134594 | Maxie C Sprott II Md Pa | Specialist | 2627 Calder St, Beaumont, TX 77702-1916 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407319213 | Legacy Dental of Beaumont Pllc | Dentist | 6480 Eastex Fwy Ste A, Beaumont, TX 77708-4336 | 2019-04-09 |
| 1821557604 | Tamarra Jean-chataigne | Dentist | 860 S 11th St Ste 101, Beaumont, TX 77701-3737 | 2019-03-19 |
| 1982199923 | Nikita Chandrakant Patel | Dentist | 5030 Oakmont Dr, Beaumont, TX 77706-7641 | 2018-06-22 |
| 1770008088 | Jonathan Howard Callahan | Dentist | 5892 Eastex Fwy Ste B, Beaumont, TX 77708-4824 | 2017-08-08 |
| 1821446055 | La Costa of Beaumont Pa | Dentist | 3870 College Street, Suite #200, Beaumont, TX 77701 | 2016-05-27 |
| 1770860801 | Arthur Donald Shaw | Dentist | 3875 Laurel St, Beaumont, TX 77707-2219 | 2011-11-03 |
| 1356660260 | Ss Powers Dental, P.a. | Dentist | 4825 Concord Rd, Beaumont, TX 77703-1811 | 2010-05-18 |
| 1174774699 | Moore Dental Corporation | Dentist | 1620 2nd Street Marketplace, Suite A, Beaumont, CA 92223 | 2008-10-02 |
| 1457509424 | Gaurav Puri | Dentist | 4400 Highland Ave, Beaumont, TX 77705 | 2008-09-03 |
| 1881864056 | David M Caldwell Dds PC | Dentist | 715 Orleans St, Beaumont, TX 77701 | 2008-03-04 |
| 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.