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1430 W Mcneese St Lake Charles LA 70605-4240 | |
| (337) 474-0212 | |
| (337) 478-3837 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1430 W Mcneese St, Lake Charles, Louisiana |
| Authorized Official Name and Position | Randall R Perry (OWNER) |
| Authorized Official Contact | 3374740212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1430 W Mcneese St Lake Charles LA 70605-4240 Ph: (337) 474-0212 | 1430 W Mcneese St Lake Charles LA 70605-4240 Ph: (337) 474-0212 |
| NPI Number | 1184605750 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184605750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3188 (Louisiana) | Primary |
Thomas Kennedy, Dds Of Louisiana Ii, A Professional Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2625 Dillard Loop, Ste A, Lake Charles, LA 70607 Phone: 337-242-1800 | |
Scott L Worley Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Lake St, Lake Charles, LA 70605 Phone: 337-474-0240 Fax: 337-474-1901 | |
Darren W. Chaumont, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Louisiana Ave, Lake Charles, LA 70607 Phone: 337-477-8931 | |
Sleep Remedy Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 715 W College St, Lake Charles, LA 70605 Phone: 337-478-3123 Fax: 337-504-7875 |