Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Greater Beaumont Oral & Maxillofacial Surgery, PA

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1790199461

Greater Beaumont Oral & Maxillofacial Surgery, PA is an Oral and Maxillofacial Surgery Clinic/Center in Beaumont, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
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

2929 Calder St Ste 302
Beaumont, TX 77702-1831
Phone: (409) 832-2532
Fax: (409) 832-3055
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X · Licence 29763 (TX)

Record details

NPI number1790199461
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prashanth Ravi — Director · (231) 392-2500
NPI enumeratedJune 20, 2014
Last updated in NPPESAugust 6, 2014
Mailing address2929 Calder St Ste 302, Beaumont, TX 77702-1831