| Jonathon B Turgeon A Proffessional Dental Limited Liability Company | |
|
2160 Airline Dr Ste B Bossier City LA 71111-3173 | |
| (318) 741-6778 | |
| Not Available |
| Full Name | Jonathon B Turgeon A Proffessional Dental Limited Liability Company |
|---|---|
| Speciality | Dentist |
| Location | 2160 Airline Dr Ste B, Bossier City, Louisiana |
| Authorized Official Name and Position | Jonathan B Turgeon (OWNER) |
| Authorized Official Contact | 3187416778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathon B Turgeon A Proffessional Dental Limited Liability Company 2160 Airline Dr Ste B Bossier City LA 71111-3173 Ph: () - | Jonathon B Turgeon A Proffessional Dental Limited Liability Company 2160 Airline Dr Ste B Bossier City LA 71111-3173 Ph: (318) 741-6778 |
| NPI Number | 1548503998 |
|---|---|
| Provider Enumeration Date | 04/04/2013 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548503998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5937 (Louisiana) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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