| Louisiana Family Dental | |
|
11331 Old Hammond Hwy Ste Bc&d Baton Rouge LA 70816-8461 | |
| (252) 566-3862 | |
| Not Available |
| Full Name | Louisiana Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11331 Old Hammond Hwy Ste Bc&d, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Drake Jolivette (BUSINESS MANAGER) |
| Authorized Official Contact | 2254024004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisiana Family Dental 11331 Old Hammond Hwy Ste Bc&d Baton Rouge LA 70816-8461 Ph: (225) 256-6386 | Louisiana Family Dental 11331 Old Hammond Hwy Ste Bc&d Baton Rouge LA 70816-8461 Ph: (252) 566-3862 |
| NPI Number | 1376024810 |
|---|---|
| Provider Enumeration Date | 08/23/2018 |
| Last Update Date | 08/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376024810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6602 (Louisiana) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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