| Dr. Joseph W. Yerger | |
|
1403 Johnson St Tallulah LA 71282-5513 | |
| (318) 574-0765 | |
| (318) 574-3464 |
| Full Name | Dr. Joseph W. Yerger |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1403 Johnson St, Tallulah, Louisiana |
| Authorized Official Name and Position | Joseph W. Yerger (OWNER) |
| Authorized Official Contact | 3185740765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Joseph W. Yerger Po Box 709 Tallulah LA 71284-0709 Ph: (318) 574-0765 | Dr. Joseph W. Yerger 1403 Johnson St Tallulah LA 71282-5513 Ph: (318) 574-0765 |
| NPI Number | 1881951291 |
|---|---|
| Provider Enumeration Date | 04/23/2012 |
| Last Update Date | 04/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881951291 | NPI | - | NPPES |
| 1820172 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2017 (Louisiana) | Primary |
Outpatient Medical Center, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 804 N Beech St, Tallulah, LA 71282 Phone: 318-574-1453 Fax: 318-574-5876 |