| Lsu Health Sciences Center Lsu Faculty Dental Practice | |
|
3800 Houma Blvd Suite 305 Metairie LA 70006-4182 | |
| (504) 889-9893 | |
| (504) 889-9895 |
| Full Name | Lsu Health Sciences Center Lsu Faculty Dental Practice |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3800 Houma Blvd, Metairie, Louisiana |
| Authorized Official Name and Position | Christine K Osburn (ASSISTANT OFFICE MANAGER) |
| Authorized Official Contact | 5048899893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lsu Health Sciences Center Lsu Faculty Dental Practice 3800 Houma Blvd Suite 305 Metairie LA 70006-4182 Ph: (504) 889-9893 | Lsu Health Sciences Center Lsu Faculty Dental Practice 3800 Houma Blvd Suite 305 Metairie LA 70006-4182 Ph: (504) 889-9893 |
| NPI Number | 1528280641 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528280641 | NPI | - | NPPES |
| 1880591 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Louisiana) | Primary |
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