Deepsouth Family Dentistry Metairie | |
3939 N Causeway Blvd Ste 104 Metairie LA 70002-1777 | |
(504) 303-4049 | |
Not Available |
Full Name | Deepsouth Family Dentistry Metairie |
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Speciality | Clinic/center - Dental |
Location | 3939 N Causeway Blvd Ste 104, Metairie, Louisiana |
Authorized Official Name and Position | Gregg May (OWNER) |
Authorized Official Contact | 9853869936 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Deepsouth Family Dentistry Metairie 1160 Highway 51 Ponchatoula LA 70454-6365 Ph: (985) 386-9936 | Deepsouth Family Dentistry Metairie 3939 N Causeway Blvd Ste 104 Metairie LA 70002-1777 Ph: (504) 303-4049 |
NPI Number | 1346756905 |
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Provider Enumeration Date | 12/19/2017 |
Last Update Date | 06/20/2018 |
Identifier | Type | State | Issuer |
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1346756905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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