Exceptional Dental Of Louisiana, Llc | |
1518 Galleria Blvd. 1518 Metairie LA 70001-7000 | |
(504) 609-2599 | |
Not Available |
Full Name | Exceptional Dental Of Louisiana, Llc |
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Speciality | Clinic/center - Dental |
Location | 1518 Galleria Blvd., Metairie, Louisiana |
Authorized Official Name and Position | Samantha Coats (INSURANCE CREDENTIALING SPECILIST) |
Authorized Official Contact | 5046092599 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Exceptional Dental Of Louisiana, Llc 1 Galleria Blvd Ste 1518 Metairie LA 70001-2082 Ph: (504) 609-2599 | Exceptional Dental Of Louisiana, Llc 1518 Galleria Blvd. 1518 Metairie LA 70001-7000 Ph: (504) 609-2599 |
NPI Number | 1386116499 |
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Provider Enumeration Date | 12/31/2018 |
Last Update Date | 02/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386116499 | NPI | - | NPPES |
========= | Other | LA | DENTIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Pediatric Dentist, Pdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 Veterans Memorial Blvd, Suite 306, Metairie, LA 70002 Phone: 504-831-2120 Fax: 504-831-2310 | |
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