| Jeevan Yenuganti, Dds, A Professional Dental Corporation | |
|
5207 Pinnacle Pkwy Covington LA 70433-9191 | |
| (985) 893-4882 | |
| Not Available |
| Full Name | Jeevan Yenuganti, Dds, A Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 5207 Pinnacle Pkwy, Covington, Louisiana |
| Authorized Official Name and Position | Jeevan Yenuganti (PRACTICE OWNER) |
| Authorized Official Contact | 9858934882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeevan Yenuganti, Dds, A Professional Dental Corporation 5207 Pinnacle Pkwy Covington LA 70433-9191 Ph: (985) 893-4882 | Jeevan Yenuganti, Dds, A Professional Dental Corporation 5207 Pinnacle Pkwy Covington LA 70433-9191 Ph: (985) 893-4882 |
| NPI Number | 1780166504 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 08/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780166504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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