Joseph W Provo is a Dentist in Beaumont, Texas. Joseph W Provo practices all healthcare services and medical treatments related to Dentist. The NPI Number for Joseph W Provo is 1487874400. The last update date is 2007-07-08.
Joseph W Provo's current location address is 1460 Ih 10 East, Beaumont, Texas. You can contact this provider via phone number 4098330261 and fax number 4098330543. The mailing address for Joseph W Provo is 1460 Ih 10 East, Beaumont, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph W Provo |
|---|---|
| Address | 1460 Ih 10 East, Beaumont, Texas |
| Phone Number | 4098330261 |
| Fax Number | 4098330543 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1487874400 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1460 Ih 10 East |
|---|---|
| City | Beaumont |
| State | Texas (TX) |
| Post Code | 77703 |
| Phone Number | 4098330261 |
| Fax Number | 4098330543 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 16452 |
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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: denti |
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What is the unique provider identifier assigned to Joseph W Provo?
The Joseph W Provo has been issued the NPI (National Provider Identifier) 1487874400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Joseph W Provo located?
The Joseph W Provo is located at 1460 Ih 10 East, Beaumont, TX 77703.
What is Joseph W Provo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Joseph W Provo's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When was the Joseph W Provo's 1487874400 issued?
The Joseph W Provo's 1487874400 was issued on 2007-05-01.
As of what date were the details related to Joseph W Provo most recently updated or revised?
The information pertaining to Joseph W Provo, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.