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Dr. Kourt Beau Chatelain, DMD
Oral and Maxillofacial Surgery (Dentist) in Tyler, Texas
NPI 1366685810

Kourt Beau Chatelain is a Oral and Maxillofacial Surgery (Dentist) based in Tyler, TX and is specialized in Oral and Maxillofacial Surgery. Kourt Beau Chatelain practices in Tyler, TX and has the professional credentials of DMD. The NPI Number for Kourt Beau Chatelain is 1366685810 and holds a License No. 28677 (Texas).

The current practice location address for Kourt Beau Chatelain is 805 Turtle Creek Dr, Tyler, TX and can be reached out via phone at 903-592-1664 and via fax at 903-525-1099.

Location: 805 Turtle Creek Dr, Tyler, TX, 75701-1937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366685810
Provider Name
Kourt Beau Chatelain
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
805 Turtle Creek Dr, Tyler, TX, 75701-1937
Phone Number
903-592-1664
Fax Number
903-525-1099
Provider Enumeration Date
04/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28677 01 TX TEXAS DENTAL LICENSE
32475102 05 TX
institution
Provider Business Practice Location Address Details
Address
805 Turtle Creek Dr
City
Tyler
State
Texas
Zip
75701-1937
Phone Number
903-592-1664
Fax Number
903-525-1099
person
Provider Business Mailing Address Details
Address
805 Turtle Creek Dr
City
Tyler
State
Texas
Zip
75701-1937
Phone Number
903-592-1664
Fax Number
903-525-1099
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
28677 (Texas)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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