| Kay C. Moser, Dds, Apdc | |
|
416 N. Second St. Amite LA 70422 | |
| (985) 748-4652 | |
| (985) 748-7957 |
| Full Name | Kay C. Moser, Dds, Apdc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 416 N. Second St., Amite, Louisiana |
| Authorized Official Name and Position | Kay C Moser (DENTIST) |
| Authorized Official Contact | 9857484652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kay C. Moser, Dds, Apdc 416 N. Second St. Amite LA 70422 Ph: (985) 748-4652 | Kay C. Moser, Dds, Apdc 416 N. Second St. Amite LA 70422 Ph: (985) 748-4652 |
| NPI Number | 1972607372 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972607372 | NPI | - | NPPES |
| 1833177 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3317 (Louisiana) | Primary |
Jacob Roger Smith Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 N 2nd St, Amite, LA 70422 Phone: 985-748-4652 Fax: 985-748-7957 |