| Creative Smiles Dental | |
|
4432 Chastant St Metairie LA 70006 | |
| (504) 885-0467 | |
| (504) 885-0468 |
| Full Name | Creative Smiles Dental |
|---|---|
| Speciality | Dentist |
| Location | 4432 Chastant St, Metairie, Louisiana |
| Authorized Official Name and Position | Rhonda O Halder (OWNER) |
| Authorized Official Contact | 5048850467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Smiles Dental 4432 Chastant St Metairie LA 70006 Ph: (504) 885-0467 | Creative Smiles Dental 4432 Chastant St Metairie LA 70006 Ph: (504) 885-0467 |
| NPI Number | 1184808776 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184808776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5279 (Louisiana) | Primary |
| 261QD0000X | Clinic/center - Dental | 5279 (Louisiana) | Secondary |
Pediatric Dentist, Pdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 Veterans Memorial Blvd, Suite 306, Metairie, LA 70002 Phone: 504-831-2120 Fax: 504-831-2310 | |
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