| Roots Pediatric Dentistry, Llc | |
|
185 S Beadle Rd Bldg 1 Lafayette LA 70508-4287 | |
| (337) 234-2349 | |
| (337) 261-1785 |
| Full Name | Roots Pediatric Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 185 S Beadle Rd Bldg 1, Lafayette, Louisiana |
| Authorized Official Name and Position | Marjorie Broussard (BUSINESS MANAGER) |
| Authorized Official Contact | 3372342349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Pediatric Dentistry, Llc 185 S Beadle Rd Bldg 1 Lafayette LA 70508-4287 Ph: (337) 234-2349 | Roots Pediatric Dentistry, Llc 185 S Beadle Rd Bldg 1 Lafayette LA 70508-4287 Ph: (337) 234-2349 |
| NPI Number | 1467111203 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 04/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467111203 | NPI | - | NPPES |
| 2870858 | Medicaid | LA | |
| 6569 | Other | LA | DENTIST |
| 1865699 | Medicaid | LA | |
| 7085 | Other | LA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Puissegur Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Rue Louis Xiv, Lafayette, LA 70508 Phone: 337-984-9400 Fax: 337-984-9401 | |
Dale M Trahan Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Genevieve Dr, Lafayette, LA 70503 Phone: 337-981-6882 Fax: 337-991-0542 | |
Jimmy A Babineaux Jr Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1534 W Pinhook Rd, Lafayette, LA 70503 Phone: 337-234-3214 | |
Complete Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3231 Kaliste Saloom Rd, Lafayette, LA 70508 Phone: 337-981-9848 Fax: 337-981-9845 | |
Lige F Dunaway, Iii, Ltd A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Representative Row, Lafayette, LA 70508 Phone: 337-264-1890 Fax: 337-264-1903 | |
Imagdent Acadiana, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-232-5332 Fax: 337-232-5655 | |
Kool Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Ne Evangeline Thruway, Lafayette, LA 70501 Phone: 800-920-9947 |