| Edward L. Donaldson, Jr.,dds Apdc And Jill M Donaldson, Dds Apdc | |
|
2960 Gause Blvd E Slidell LA 70461-4153 | |
| (985) 641-3988 | |
| (985) 646-2536 |
| Full Name | Edward L. Donaldson, Jr.,dds Apdc And Jill M Donaldson, Dds Apdc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2960 Gause Blvd E, Slidell, Louisiana |
| Authorized Official Name and Position | Edward Lawrence Donaldson (PARTNER) |
| Authorized Official Contact | 9856413988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward L. Donaldson, Jr.,dds Apdc And Jill M Donaldson, Dds Apdc 2960 Gause Blvd E Slidell LA 70461-4153 Ph: (985) 641-3988 | Edward L. Donaldson, Jr.,dds Apdc And Jill M Donaldson, Dds Apdc 2960 Gause Blvd E Slidell LA 70461-4153 Ph: (985) 641-3988 |
| NPI Number | 1245445915 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245445915 | NPI | - | NPPES |
| 1880191 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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