| Jade F Fontenot Dds Llc | |
|
725 N Avenue K Crowley LA 70526-3848 | |
| (337) 783-2455 | |
| (337) 783-3815 |
| Full Name | Jade F Fontenot Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 725 N Avenue K, Crowley, Louisiana |
| Authorized Official Name and Position | Jade F Fontenot (OWNER) |
| Authorized Official Contact | 3377832455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jade F Fontenot Dds Llc 725 N Avenue K Crowley LA 70526-3848 Ph: (337) 783-2455 | Jade F Fontenot Dds Llc 725 N Avenue K Crowley LA 70526-3848 Ph: (337) 783-2455 |
| NPI Number | 1861978041 |
|---|---|
| Provider Enumeration Date | 07/11/2018 |
| Last Update Date | 07/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861978041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6673 (Louisiana) | Primary |
Acadiana Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 North Avenue K, Crowley, LA 70526 Phone: 337-788-0677 Fax: 337-783-0343 | |
Charles L. Anzalone, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 N Avenue K, Crowley, LA 70526 Phone: 337-783-2455 Fax: 337-783-3815 | |
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