| Geaux Dental | |
|
2114 Highway 80 Haughton LA 71037-9497 | |
| (318) 949-8344 | |
| (318) 617-5053 |
| Full Name | Geaux Dental |
|---|---|
| Speciality | Dentist |
| Location | 2114 Highway 80, Haughton, Louisiana |
| Authorized Official Name and Position | Jamie Williamson (OFFICE MANAGER) |
| Authorized Official Contact | 3189498344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geaux Dental 2114 Highway 80 Haughton LA 71037-9497 Ph: (318) 949-8344 | Geaux Dental 2114 Highway 80 Haughton LA 71037-9497 Ph: (318) 949-8344 |
| NPI Number | 1114451952 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114451952 | NPI | - | NPPES |
| 1864994 | Medicaid | LA | |
| 1866466 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6499 (Louisiana) | Primary |