Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Altus Dental Surgery Beaumont, PA

Organization Pediatric Dentistry · NPI 1164821286

Altus Dental Surgery Beaumont, PA provides Pediatric Dentistry in Beaumont, Texas. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

390 N 11th St
Beaumont, TX 77702-1802 Not confirmed with CMS for 12 years — call before visiting
Phone: (281) 427-5100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1164821286
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Poorang Pahlavan — Owner · (281) 427-5100
Other names Altus Dental Surgery Center Beaumont
NPI enumeratedAugust 14, 2014
Last updated in NPPESAugust 14, 2014
Mailing address4508 Garth Rd, Suite A, Baytown, TX 77521-2154

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