| Burvant Family Dentistry Llc | |
|
601 W 18th Ave Covington LA 70433-3064 | |
| (985) 892-2403 | |
| Not Available |
| Full Name | Burvant Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 601 W 18th Ave, Covington, Louisiana |
| Authorized Official Name and Position | Joel Embree Burvant (OWNER) |
| Authorized Official Contact | 9858922403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burvant Family Dentistry Llc 601 W 18th Ave Covington LA 70433-3064 Ph: (985) 892-2403 | Burvant Family Dentistry Llc 601 W 18th Ave Covington LA 70433-3064 Ph: (985) 892-2403 |
| NPI Number | 1073869046 |
|---|---|
| Provider Enumeration Date | 07/27/2012 |
| Last Update Date | 07/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073869046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6172 (Louisiana) | Primary |
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Charles T. Coleman, D.m.d.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5207 Pinnacle Pkwy, Covington, LA 70433 Phone: 985-893-4882 Fax: 985-893-4883 |