| Thomas Kennedy, Dds Of Louisiana Ii, A Professional Dental Llc | |
|
114 Derek Plaza Ste E Carencro LA 70520 | |
| (337) 520-0196 | |
| Not Available |
| Full Name | Thomas Kennedy, Dds Of Louisiana Ii, A Professional Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 114 Derek Plaza, Carencro, Louisiana |
| Authorized Official Name and Position | Haley Wooster (ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 7127338551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Kennedy, Dds Of Louisiana Ii, A Professional Dental Llc 114 Derek Plaza Ste E Carencro LA 70520 Ph: (337) 520-0196 | Thomas Kennedy, Dds Of Louisiana Ii, A Professional Dental Llc 114 Derek Plaza Ste E Carencro LA 70520 Ph: (337) 520-0196 |
| NPI Number | 1962870493 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 11/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962870493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6219 (Louisiana) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Michele Lavergne Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4306 N University Ave, Carencro, LA 70520 Phone: 337-896-3062 Fax: 337-896-3014 | |
Bumgardner Family Dental, Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4306 N. University, Carencro, LA 70520 Phone: 337-896-3062 | |
Phillip L Stelly Dds A Professionel Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 258 Arceneaux Rd, Carencro, LA 70520 Phone: 337-896-9132 Fax: 337-896-7852 |