| Exceptional Dental Of Coursey, Llc | |
|
12045 Coursey Bvld. Baton Rouge LA 70816 | |
| (225) 292-8783 | |
| (225) 292-8030 |
| Full Name | Exceptional Dental Of Coursey, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12045 Coursey Bvld., Baton Rouge, Louisiana |
| Authorized Official Name and Position | Samantha Coats (INSURANCE CREDENTIALING LIAISON) |
| Authorized Official Contact | 5046092599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exceptional Dental Of Coursey, Llc 12045 Coursey Blvd Baton Rouge LA 70816-4478 Ph: (225) 292-8783 | Exceptional Dental Of Coursey, Llc 12045 Coursey Bvld. Baton Rouge LA 70816 Ph: (225) 292-8783 |
| NPI Number | 1609475128 |
|---|---|
| Provider Enumeration Date | 10/26/2020 |
| Last Update Date | 10/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609475128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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