Kidder And Kidder | |
6535 Perkins Rd Baton Rouge LA 70808-4259 | |
(225) 761-8585 | |
(225) 761-1979 |
Full Name | Kidder And Kidder |
---|---|
Speciality | Dentist - General Practice |
Location | 6535 Perkins Rd, Baton Rouge, Louisiana |
Authorized Official Name and Position | Dustin Kidder (DENTIST/OWNER) |
Authorized Official Contact | 2257618585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kidder And Kidder 6535 Perkins Rd Baton Rouge LA 70808-4259 Ph: (225) 761-8585 | Kidder And Kidder 6535 Perkins Rd Baton Rouge LA 70808-4259 Ph: (225) 761-8585 |
NPI Number | 1154821460 |
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Provider Enumeration Date | 02/14/2018 |
Last Update Date | 02/14/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154821460 | NPI | - | NPPES |
82-1801786 | Other | LA | DENTAL PRACTICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5901 (Louisiana) | Primary |
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