Kellene M. Cole Dds A.p.d.c. | |
9541 Jefferson Hwy River Ridge LA 70123 | |
(504) 738-1567 | |
(504) 738-1571 |
Full Name | Kellene M. Cole Dds A.p.d.c. |
---|---|
Speciality | Dentist |
Location | 9541 Jefferson Hwy, River Ridge, Louisiana |
Authorized Official Name and Position | Richelle K. Punch (OFFICE MANAGER) |
Authorized Official Contact | 5047381567 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kellene M. Cole Dds A.p.d.c. 9541 Jefferson Hwy River Ridge LA 70123 Ph: (504) 738-1567 | Kellene M. Cole Dds A.p.d.c. 9541 Jefferson Hwy River Ridge LA 70123 Ph: (504) 738-1567 |
NPI Number | 1710015474 |
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Provider Enumeration Date | 03/02/2007 |
Last Update Date | 03/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710015474 | NPI | - | NPPES |
26343 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Dejong And Plaisance Dentistry Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10154 Jefferson Hwy, River Ridge, LA 70123 Phone: 504-738-5171 Fax: 504-738-7923 |