| Aspen Dental | |
|
12730 Millerville Greens Blvd Suite 1 Baton Rouge LA 70816 | |
| (225) 234-0713 | |
| Not Available |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12730 Millerville Greens Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Chedly Vincent (OWNER) |
| Authorized Official Contact | 2252340713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Aspen Dental 12730 Millerville Greens Blvd Suite 1 Baton Rouge LA 70816 Ph: (225) 234-0713 |
| NPI Number | 1194267567 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 11/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194267567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6631 (Louisiana) | Primary |
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