| Bluebonnet Dental Care @ Mandeville Llc | |
|
4040 Lonesome Rd Mandeville LA 70448-7085 | |
| (225) 778-7832 | |
| Not Available |
| Full Name | Bluebonnet Dental Care @ Mandeville Llc |
|---|---|
| Speciality | Dentist |
| Location | 4040 Lonesome Rd, Mandeville, Louisiana |
| Authorized Official Name and Position | Andre Bruni (CEO) |
| Authorized Official Contact | 5049088877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebonnet Dental Care @ Mandeville Llc 4451 Bluebonnet Blvd Ste F Baton Rouge LA 70809-9647 Ph: (225) 778-7832 | Bluebonnet Dental Care @ Mandeville Llc 4040 Lonesome Rd Mandeville LA 70448-7085 Ph: (225) 778-7832 |
| NPI Number | 1720492291 |
|---|---|
| Provider Enumeration Date | 06/12/2014 |
| Last Update Date | 06/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720492291 | NPI | - | NPPES |
| 1223 | Other | LA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6494 (Louisiana) | Primary |
Freeman Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1510 W Causeway Approach Ste B, Mandeville, LA 70471 Phone: 985-231-7600 | |
Randall L. Foto Dds Dental Clinic Medicare: Medicare Enrolled Practice Location: 645 Lotus Dr N, B, Mandeville, LA 70471 Phone: 985-626-4447 Fax: 985-674-6688 | |
Mandeville Center For Dental Excellence Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Dalwill Dr, Mandeville, LA 70471 Phone: 985-626-4401 Fax: 985-626-9613 | |
Grand Dentistry Arbor Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 N. Causeway, Mandeville, LA 70448 Phone: 985-778-0096 | |
Jeffrey L Schwab Dds Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Park Ave, Mandeville, LA 70448 Phone: 985-624-7707 | |
Grand Family Dentistry. Com Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2083 3rd St, Mandeville, LA 70471 Phone: 985-231-5796 Fax: 985-624-8881 | |
Pelican Park Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4040 Lonesome Rd, Mandeville, LA 70448 Phone: 985-626-5030 Fax: 985-626-5018 |