Creative Dental Studio | |
15615 Airline Hwy Prairieville LA 70769-4675 | |
(225) 677-9300 | |
Not Available |
Full Name | Creative Dental Studio |
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Speciality | Dentist |
Location | 15615 Airline Hwy, Prairieville, Louisiana |
Authorized Official Name and Position | John Landreneau (OWNER/DENTIST) |
Authorized Official Contact | 2256779300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Creative Dental Studio 15615 Airline Hwy Prairieville LA 70769-4675 Ph: () - | Creative Dental Studio 15615 Airline Hwy Prairieville LA 70769-4675 Ph: (225) 677-9300 |
NPI Number | 1225712284 |
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Provider Enumeration Date | 06/12/2023 |
Last Update Date | 07/21/2023 |
Medicare PECOS PAC ID | 7719332212 |
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Medicare Enrollment ID | O20231018000214 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225712284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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