| Crescent City Dentistry, Llc | |
|
8229 Jefferson Hwy Harahan LA 70123 | |
| (504) 739-9778 | |
| (504) 739-9871 |
| Full Name | Crescent City Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8229 Jefferson Hwy, Harahan, Louisiana |
| Authorized Official Name and Position | Cleopatra Eyvonne Thompson (OWNER) |
| Authorized Official Contact | 5047399778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent City Dentistry, Llc 8229 Jefferson Hwy Harahan LA 70123 Ph: (504) 739-9778 | Crescent City Dentistry, Llc 8229 Jefferson Hwy Harahan LA 70123 Ph: (504) 739-9778 |
| NPI Number | 1962597542 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 10/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962597542 | NPI | - | NPPES |
| 1853739 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5373 (Louisiana) | Primary |
Shannon R Bergeron Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8384 Jefferson Hwy Ste 4, Harahan, LA 70123 Phone: 504-738-9900 Fax: 504-738-9908 | |
Dr Archibald L Melcher Iv Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6367 Jefferson Hwy, Harahan, LA 70123 Phone: 504-737-5294 |