| Lake Area Dentistry- Moss Bluff | |
|
644 N Highway 171 Lake Charles LA 70611-5348 | |
| (337) 855-2742 | |
| Not Available |
| Full Name | Lake Area Dentistry- Moss Bluff |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 644 N Highway 171, Lake Charles, Louisiana |
| Authorized Official Name and Position | Jeffery A Hennigan (OWNER) |
| Authorized Official Contact | 3378552742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Area Dentistry- Moss Bluff 644 N Highway 171 Lake Charles LA 70611-5348 Ph: (337) 855-2742 | Lake Area Dentistry- Moss Bluff 644 N Highway 171 Lake Charles LA 70611-5348 Ph: (337) 855-2742 |
| NPI Number | 1528535960 |
|---|---|
| Provider Enumeration Date | 10/24/2018 |
| Last Update Date | 10/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528535960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Thomas Kennedy, Dds Of Louisiana Ii, A Professional Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2625 Dillard Loop, Ste A, Lake Charles, LA 70607 Phone: 337-242-1800 | |
Scott L Worley Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Lake St, Lake Charles, LA 70605 Phone: 337-474-0240 Fax: 337-474-1901 | |
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