| Henagan Team Dentistry, Llc | |
|
600 Rue De Lion New Iberia LA 70563-2113 | |
| (337) 364-2156 | |
| (337) 364-7875 |
| Full Name | Henagan Team Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 600 Rue De Lion, New Iberia, Louisiana |
| Authorized Official Name and Position | Annette P Thompson (FINANCIAL/INSURANCE COORDINATOR) |
| Authorized Official Contact | 3373642156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Henagan Team Dentistry, Llc 600 Rue De Lion New Iberia LA 70563-2113 Ph: (337) 364-2156 | Henagan Team Dentistry, Llc 600 Rue De Lion New Iberia LA 70563-2113 Ph: (337) 364-2156 |
| NPI Number | 1992364244 |
|---|---|
| Provider Enumeration Date | 06/11/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992364244 | NPI | - | NPPES |
| C1334 | Other | LA | BCBS PROVIDER NO. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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