# 3560 BEAUMONT SMILE PROFESSIONAL, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851272538
- **Authorized official:** PAM DRAPER (VP OF OPERATIONS)
- **Authorized official phone:** (602) 391-4086

## Contact information

- **Practice address:** 3560 DELAWARE ST STE 102, BEAUMONT, TX 77706-3059
- **Practice address phone:** (409) 892-2600
- **Mailing address:** 3560 DELAWARE ST STE 102, BEAUMONT, TX 77706-3059
- **Mailing address phone:** (409) 892-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2025
- **Last updated:** 09/10/2025