| Dejong And Plaisance Dentistry Partnership | |
|
10154 Jefferson Hwy River Ridge LA 70123-2446 | |
| (504) 738-5171 | |
| (504) 738-7923 |
| Full Name | Dejong And Plaisance Dentistry Partnership |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10154 Jefferson Hwy, River Ridge, Louisiana |
| Authorized Official Name and Position | Kerry Thomas Plaisance (PRESIDENT (PARTNER)) |
| Authorized Official Contact | 5047385171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dejong And Plaisance Dentistry Partnership 10154 Jefferson Hwy River Ridge LA 70123-2446 Ph: (504) 738-5171 | Dejong And Plaisance Dentistry Partnership 10154 Jefferson Hwy River Ridge LA 70123-2446 Ph: (504) 738-5171 |
| NPI Number | 1285788893 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285788893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5498 (Louisiana) | Primary |
| 1223G0001X | Dentist - General Practice | 3389 (Louisiana) | Secondary |
Kellene M. Cole Dds A.p.d.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9541 Jefferson Hwy, River Ridge, LA 70123 Phone: 504-738-1567 Fax: 504-738-1571 |