| Central Dental Care | |
|
11424 Sullivan Rd Bldg B Suite A Baton Rouge LA 70818-3615 | |
| (225) 261-6645 | |
| (225) 262-9061 |
| Full Name | Central Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11424 Sullivan Rd Bldg B Suite A, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Jacob F 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 Road Bldg B Suite A Baton Rouge LA 70818 Ph: (225) 261-6645 | Central Dental Care 11424 Sullivan Rd Bldg B Suite A Baton Rouge LA 70818-3615 Ph: (225) 261-6645 |
| NPI Number | 1609934488 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 07/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609934488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5406 (Louisiana) | Primary |
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