Clark Family Dentistry | |
639 Lotus Dr N Mandeville LA 70471 | |
(985) 624-5449 | |
(985) 674-0393 |
Full Name | Clark Family Dentistry |
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Speciality | Dental Hygienist |
Location | 639 Lotus Dr N, Mandeville, Louisiana |
Authorized Official Name and Position | Paul A Clark (VP) |
Authorized Official Contact | 9856245449 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clark Family Dentistry 639 Lotus Dr N Mandeville LA 70471 Ph: (985) 624-5449 | Clark Family Dentistry 639 Lotus Dr N Mandeville LA 70471 Ph: (985) 624-5449 |
NPI Number | 1891896148 |
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Provider Enumeration Date | 09/26/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891896148 | NPI | - | NPPES |
1844764 | Medicaid | LA | |
A2217 | Other | BCBS OF LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | LA4476 (Louisiana) | Primary |
124Q00000X | Dental Hygienist | (* (Not Available)) | Primary |
Randall L. Foto Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 Lotus Dr N, B, Mandeville, LA 70471 Phone: 985-626-4447 Fax: 985-674-6688 | |
Grand Dentistry Arbor Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 N. Causeway, Mandeville, LA 70448 Phone: 985-778-0096 | |
Jeffrey L Schwab Dds Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Park Ave, Mandeville, LA 70448 Phone: 985-624-7707 | |
Grand Family Dentistry. Com Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2083 3rd St, Mandeville, LA 70471 Phone: 985-231-5796 Fax: 985-624-8881 | |