| Louisiana Dental Center | |
|
218 Memphis St Bogalusa LA 70427-3844 | |
| (985) 735-0078 | |
| Not Available |
| Full Name | Louisiana Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 218 Memphis St, Bogalusa, Louisiana |
| Authorized Official Name and Position | Joseph R Lacoste (PRESIDENT / OWNER) |
| Authorized Official Contact | 9857350078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Dental Center 218 Memphis St Bogalusa LA 70427-3844 Ph: (985) 735-0078 | Louisiana Dental Center 218 Memphis St Bogalusa LA 70427-3844 Ph: (985) 735-0078 |
| NPI Number | 1235394610 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 07/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235394610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3427 (Louisiana) | Primary |
Family Dentistry Of Bogalusa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Louisiana Ave, Bogalusa, LA 70427 Phone: 985-735-7372 Fax: 985-732-5944 | |
Gary A Parker Dds Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Austin St, Bogalusa, LA 70427 Phone: 985-735-7653 Fax: 985-735-7688 |