Stevens Dental | |
11918 Sunray Ave Baton Rouge LA 70816-5316 | |
(225) 291-2111 | |
Not Available |
Full Name | Stevens Dental |
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Speciality | Dentist |
Location | 11918 Sunray Ave, Baton Rouge, Louisiana |
Authorized Official Name and Position | Kasan Stevens (OWNER) |
Authorized Official Contact | 2252912111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stevens Dental 11918 Sunray Ave Baton Rouge LA 70816-5316 Ph: (225) 291-2111 | Stevens Dental 11918 Sunray Ave Baton Rouge LA 70816-5316 Ph: (225) 291-2111 |
NPI Number | 1174969273 |
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Provider Enumeration Date | 05/15/2013 |
Last Update Date | 01/09/2023 |
Medicare PECOS PAC ID | 3870909674 |
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Medicare Enrollment ID | O20210302002304 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174969273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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