OrganizationActive
Gulfside Dental - Old Town PLLC
NPI 1275067365 · Dentist · Beaumont, TX
Gulfside Dental - Old Town PLLC is a Dentist organization in Beaumont, TX (NPI 1275067365).
Provider details
- NPI number
- 1275067365
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mary Pu, Vp of Finance(972) 869-3789
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2474 Broadway St
Beaumont, TX 77702-1904
Phone: (972) 869-3789
Street-level locationGet directions
Mailing address
2403 Lacy Ln
Carrollton, TX 75006-6514
Registry dates
- Enumerated
- 2017-04-14
- Last updated
- 2017-04-14
Frequently asked questions
- What is Gulfside Dental - Old Town PLLC's NPI number?
- Gulfside Dental - Old Town PLLC's National Provider Identifier (NPI) is 1275067365, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gulfside Dental - Old Town PLLC?
- Gulfside Dental - Old Town PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Gulfside Dental - Old Town PLLC located?
- Gulfside Dental - Old Town PLLC's practice location on file with NPPES is 2474 Broadway St, Beaumont, TX 77702-1904.
- What is Gulfside Dental - Old Town PLLC's phone number?
- The practice phone number listed in the NPPES registry for Gulfside Dental - Old Town PLLC is (972) 869-3789.
- Who is the authorized official for Gulfside Dental - Old Town PLLC?
- The authorized official listed on Gulfside Dental - Old Town PLLC's NPPES record is Mary Pu, Vp of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gulfside Dental - Old Town PLLC's NPI active?
- Yes — Gulfside Dental - Old Town PLLC's NPI (1275067365) is active in the NPPES registry as of the last update on 2017-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.