Dr. Jack E. Beeler , DDS, PC
Dentist - General Practice • Port Lavaca, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Beeler has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jack Beeler, DDS, PC was a registered Dentist - General Practice practicing in Port Lavaca, TX. Throughout an active medical career spanning 20 years, Dr. Beeler provided care at the practice location at 621 N VIRGINIA ST until profile deactivation on 2026-05-28.
Practice Location & Contact Primary Location
621 N Virginia St
Port Lavaca, TX 779793021
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Port Lavaca, TX
Practicing in Port Lavaca, TX (10570 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 28, 2026
NPI status registered as active in NPPES database
Registered at 621 N VIRGINIA ST, PORT LAVACA, TX 779793021 (Tel: 3615526814)
Registered at 621 N VIRGINIA ST, P.O. BOX 12, PORT LAVACA, TX 779793021 (Tel: 3615526814)
Recorded as JACK BEELER, DDS, PC.
Dentist (License #10567 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
621 N Virginia St, P.o. Box 12
Port Lavaca, TX 779793021
Phone: 3615526814
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