| Elm Street Dental Center, Llc | |
|
909 Elm St Minden LA 71055-2747 | |
| (318) 377-9411 | |
| (318) 377-1424 |
| Full Name | Elm Street Dental Center, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 909 Elm St, Minden, Louisiana |
| Authorized Official Name and Position | Donna L Basham (OFFICE MANAGER) |
| Authorized Official Contact | 3183779411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elm Street Dental Center, Llc 909 Elm St Minden LA 71055-2747 Ph: (318) 377-9411 | Elm Street Dental Center, Llc 909 Elm St Minden LA 71055-2747 Ph: (318) 377-9411 |
| NPI Number | 1972648186 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972648186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Daniel J Moore Dds A Professional Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1117 Homer Road, Minden, LA 71058 Phone: 318-371-2211 | |
Horseshoe Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 164 Country Club Circle, Suite A, Minden, LA 71055 Phone: 318-639-9559 Fax: 318-639-9560 | |
Sr Minden Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Cline St, Minden, LA 71055 Phone: 318-377-0763 Fax: 318-377-0764 |