| Childrens Dental Care Llc | |
|
541 Shadows Ln Suite B Baton Rouge LA 70806-6531 | |
| (225) 924-2010 | |
| (225) 926-5872 |
| Full Name | Childrens Dental Care Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 541 Shadows Ln, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Jeff Douglas Ellard (OWNER/ PRESIDENT) |
| Authorized Official Contact | 2259242010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dental Care Llc 541 Shadows Ln Suite B Baton Rouge LA 70806-6531 Ph: (225) 924-2010 | Childrens Dental Care Llc 541 Shadows Ln Suite B Baton Rouge LA 70806-6531 Ph: (225) 924-2010 |
| NPI Number | 1164677233 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 11/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164677233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3507 (Louisiana) | Primary |
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