| Jeff Ellard Dds Apdc | |
|
541 Shadows Ln Ste B Baton Rouge LA 70806-6559 | |
| (225) 924-2010 | |
| (225) 926-5872 |
| Full Name | Jeff Ellard Dds Apdc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 541 Shadows Ln Ste B, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Jeff Ellard Ellard (OWNER PRESIDENT) |
| Authorized Official Contact | 2259242010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff Ellard Dds Apdc 541 Shadows Ln Ste B Baton Rouge LA 70806-6559 Ph: (225) 924-2010 | Jeff Ellard Dds Apdc 541 Shadows Ln Ste B Baton Rouge LA 70806-6559 Ph: (225) 924-2010 |
| NPI Number | 1649898982 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 07/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649898982 | NPI | - | NPPES |
| 1376547364 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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