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Active NPI 1972733533 Individual Practitioner Female Practitioner

Dr. Sushma Kailash Pati , DDS

Dentist - General Practice • Beaumont, TX

Professional Overview & Biography Verified Profile Summary

Dr. Sushma Pati, DDS is a registered healthcare professional specializing in Dentist - General Practice in Beaumont, TX. Practice services are available at 3865 PHELAN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3865 Phelan Blvd

Beaumont, TX 777072243

Telephone 4098335437
Associated Practice Facility / Clinic
🏢 Small Smiles Of Beaumont, Pc Facility NPI 1184741704

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Beaumont, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
54 Specialists

Practicing in Beaumont, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 25275

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NY P78123

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Sean Tran , DMD

Dentist - General Practice

NPI 1578700639

Doctor of Dental Medicine

Dr. Hyacinth Bailey , DDS

Dentist - General Practice

NPI 1750479069

Doctor of Dental Surgery

Dr. Martha Hudson , DDS

Dentist - General Practice

NPI 1770750036

Doctor of Dental Surgery

Dr. Gloria King , DDS

Dentist - General Practice

NPI 1932319357

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active November 30, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address November 30, 2017

Registered at 3865 PHELAN BLVD, BEAUMONT, TX 777072243 (Tel: 4098335437)

📍
Updated Practice Location November 30, 2017

Registered at 3865 PHELAN BLVD, BEAUMONT, TX 777072243 (Tel: 4098335437)

👤
Provider Name / Credentials Updated November 30, 2017

Recorded as SUSHMA PATI, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2017

Dentist (License #P78123 in NY)

NPI Profile Active December 29, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location December 29, 2010

Registered at 3865 PHELAN BLVD, BEAUMONT, TX 777072243 (Tel: 4098335437)

📍
Updated Business Mailing Address December 29, 2010

Registered at 201 W 8TH ST, SUITE 810, PUEBLO, CO 810033038 (Tel: 7195624447)

👤
Provider Name / Credentials Updated December 29, 2010

Recorded as SUSHMA PATI, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2010

Dentist (License #P78123 in NY)

🟢
Initial NPI Registration & Enumeration July 16, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972733533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2009
Last Update: June 12, 2024
Sole Proprietor: No

Mailing Address

3865 Phelan Blvd

Beaumont, TX 777072243

Phone: 4098335437

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.