| Jeffrey W. Dongieux, D.d.s. A Professional Corporation | |
|
1900 W Esplanade Ave Suite 101 Kenner LA 70065-3463 | |
| (504) 468-8300 | |
| (504) 468-8307 |
| Full Name | Jeffrey W. Dongieux, D.d.s. A Professional Corporation |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1900 W Esplanade Ave, Kenner, Louisiana |
| Authorized Official Name and Position | Michelle Ann Miller (OFFICE MANAGER) |
| Authorized Official Contact | 5044688300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey W. Dongieux, D.d.s. A Professional Corporation 1900 W Esplanade Ave Suite 101 Kenner LA 70065-3463 Ph: (504) 468-8300 | Jeffrey W. Dongieux, D.d.s. A Professional Corporation 1900 W Esplanade Ave Suite 101 Kenner LA 70065-3463 Ph: (504) 468-8300 |
| NPI Number | 1053383158 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053383158 | NPI | - | NPPES |
| 1855294 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5529 (Louisiana) | Primary |
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