| Baton Rouge Dental Center Inc | |
|
679 E Airport Ave Baton Rouge LA 70806-6517 | |
| (225) 926-2195 | |
| (225) 926-2192 |
| Full Name | Baton Rouge Dental Center Inc |
|---|---|
| Speciality | Dentist |
| Location | 679 E Airport Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Julie A Vignes (DENTIST) |
| Authorized Official Contact | 2259262195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baton Rouge Dental Center Inc 679 E Airport Ave Baton Rouge LA 70806-6517 Ph: (225) 926-2195 | Baton Rouge Dental Center Inc 679 E Airport Ave Baton Rouge LA 70806-6517 Ph: (225) 926-2195 |
| NPI Number | 1508867334 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508867334 | NPI | - | NPPES |
| 1880736 | Medicaid | LA | |
| 705207 | Other | UNITED CONCORDIA | |
| 1846660 | Medicaid | LA | |
| F1538 | Other | LA | BLUE CROSS OF LA |
| 3147391 | Other | TN | BLUE CROSS OF TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4666 (Louisiana) | Primary |
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