| Alexandria Endodontics, Llc | |
|
1431 Peterman Dr Alexandria LA 71301-3433 | |
| (318) 443-5013 | |
| (318) 443-5014 |
| Full Name | Alexandria Endodontics, Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1431 Peterman Dr, Alexandria, Louisiana |
| Authorized Official Name and Position | Daniel Lester (DENTIST/OWNER) |
| Authorized Official Contact | 3184435013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandria Endodontics, Llc 1431 Peterman Dr Alexandria LA 71301-3433 Ph: (318) 443-5013 | Alexandria Endodontics, Llc 1431 Peterman Dr Alexandria LA 71301-3433 Ph: (318) 443-5013 |
| NPI Number | 1932621943 |
|---|---|
| Provider Enumeration Date | 07/11/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932621943 | NPI | - | NPPES |
| 32371 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 5649 (Louisiana) | Primary |
| 1223E0200X | Dentist - Endodontics | 5790 (Louisiana) | Secondary |
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