Exceptional Dental | |
27136 Highway 23 Suite 314 Port Sulphur LA 70083-2648 | |
(504) 433-2092 | |
Not Available |
Full Name | Exceptional Dental |
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Speciality | Dentist - General Practice |
Location | 27136 Highway 23, Port Sulphur, Louisiana |
Authorized Official Name and Position | Mike Cook (OFFICE MANAGER) |
Authorized Official Contact | 5044332092 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Exceptional Dental 27136 Highway 23 Suite 314 Port Sulphur LA 70083-2648 Ph: (504) 433-2092 | Exceptional Dental 27136 Highway 23 Suite 314 Port Sulphur LA 70083-2648 Ph: (504) 433-2092 |
NPI Number | 1710361118 |
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Provider Enumeration Date | 07/15/2015 |
Last Update Date | 07/15/2015 |
Identifier | Type | State | Issuer |
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1710361118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (Louisiana) | Primary |