| Carol A Stuckey Dds | |
|
701 Metairie Rd Suite 1a 204 Metairie LA 70005 | |
| (504) 835-1349 | |
| (504) 832-3180 |
| Full Name | Carol A Stuckey Dds |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 701 Metairie Rd, Metairie, Louisiana |
| Authorized Official Name and Position | Carol A Stuckey (OWNER ORTHODONTIST) |
| Authorized Official Contact | 5048351349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol A Stuckey Dds 701 Metairie Rd Suite 1a 204 Metairie LA 70005 Ph: (504) 835-1349 | Carol A Stuckey Dds 701 Metairie Rd Suite 1a 204 Metairie LA 70005 Ph: (504) 835-1349 |
| NPI Number | 1649360082 |
|---|---|
| Provider Enumeration Date | 10/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649360082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3781 (Louisiana) | Primary |
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