| Central Dental Care | |
|
11424 Sullivan Rd Bldg B Ste A Baton Rouge LA 70818-3615 | |
| (225) 261-6645 | |
| (225) 262-9061 |
| Full Name | Central Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11424 Sullivan Rd Bldg B, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Jacob Francis Henderson (OWNER) |
| Authorized Official Contact | 2252616645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Dental Care 11424 Sullivan Rd Bldg B Ste A Baton Rouge LA 70818-3615 Ph: (225) 261-6645 | Central Dental Care 11424 Sullivan Rd Bldg B Ste A Baton Rouge LA 70818-3615 Ph: (225) 261-6645 |
| NPI Number | 1144617150 |
|---|---|
| Provider Enumeration Date | 04/17/2015 |
| Last Update Date | 04/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144617150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5406 (Louisiana) | Primary |
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