| Lafayette Pediatric Dentistry | |
|
1512 Camellia Blvd. Lafayette LA 70508 | |
| (337) 443-9944 | |
| (337) 981-7505 |
| Full Name | Lafayette Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1512 Camellia Blvd., Lafayette, Louisiana |
| Authorized Official Name and Position | Anita J Gouri (PRESIDENT) |
| Authorized Official Contact | 3374439944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette Pediatric Dentistry 1512 Camellia Blvd Lafayette LA 70508 Ph: (337) 443-9944 | Lafayette Pediatric Dentistry 1512 Camellia Blvd. Lafayette LA 70508 Ph: (337) 443-9944 |
| NPI Number | 1386182418 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386182418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5755 (Louisiana) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Puissegur Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Rue Louis Xiv, Lafayette, LA 70508 Phone: 337-984-9400 Fax: 337-984-9401 | |
Dale M Trahan Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Genevieve Dr, Lafayette, LA 70503 Phone: 337-981-6882 Fax: 337-991-0542 | |
Jimmy A Babineaux Jr Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1534 W Pinhook Rd, Lafayette, LA 70503 Phone: 337-234-3214 | |
Complete Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3231 Kaliste Saloom Rd, Lafayette, LA 70508 Phone: 337-981-9848 Fax: 337-981-9845 | |
Lige F Dunaway, Iii, Ltd A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Representative Row, Lafayette, LA 70508 Phone: 337-264-1890 Fax: 337-264-1903 | |
Imagdent Acadiana, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-232-5332 Fax: 337-232-5655 | |
Kool Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Ne Evangeline Thruway, Lafayette, LA 70501 Phone: 800-920-9947 |