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Active NPI 1487874400 Individual Practitioner Male Practitioner

Dr. Joseph W Provo , DDS

Dentist • Beaumont, TX

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Provo, DDS is a registered healthcare professional specializing in Dentist in Beaumont, TX. Practice services are available at 1460 IH 10 EAST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1460 Ih 10 East
Suite A

Beaumont, TX 77703

Telephone 4098330261
Fax 4098330543

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Beaumont, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
36 Specialists

Practicing in Beaumont, TX (6851 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 16452

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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1460 IH 10 EAST, SUITE A, BEAUMONT, TX 77703 (Tel: 4098330261)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1460 IH 10 EAST, SUITE A, BEAUMONT, TX 77703 (Tel: 4098330261)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOSEPH PROVO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #16452 in TX)

🟢
Initial NPI Registration & Enumeration May 01, 2007

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: 1487874400
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1460 Ih 10 East, Suite A

Beaumont, TX 77703

Phone: 4098330261

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.