Green Gregson Family Dentistry Llc | |
3812 Ridgelake Dr Suite 300 Metairie LA 70002 | |
(504) 849-0190 | |
(504) 849-0192 |
Full Name | Green Gregson Family Dentistry Llc |
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Speciality | Dentist |
Location | 3812 Ridgelake Dr, Metairie, Louisiana |
Authorized Official Name and Position | Jeffrey M Gregson (OWNER) |
Authorized Official Contact | 5048490190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Green Gregson Family Dentistry Llc 3812 Ridgelake Dr Suite 300 Metairie LA 70002 Ph: (504) 849-0190 | Green Gregson Family Dentistry Llc 3812 Ridgelake Dr Suite 300 Metairie LA 70002 Ph: (504) 849-0190 |
NPI Number | 1881901726 |
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Provider Enumeration Date | 09/13/2010 |
Last Update Date | 05/10/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881901726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | 3148 (Louisiana) | Secondary |
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