| |
2030 N Causeway Blvd Mandeville LA 70471-3116 | |
(985) 626-3338 | |
(985) 626-3318 |
Full Name | |
---|---|
Speciality | Dentist - General Practice |
Location | 2030 N Causeway Blvd, Mandeville, Louisiana |
Authorized Official Name and Position | Patrick Shannon Allison (OWNER) |
Authorized Official Contact | 9856263338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2030 N Causeway Blvd Mandeville LA 70471-3116 Ph: (985) 626-3338 | 2030 N Causeway Blvd Mandeville LA 70471-3116 Ph: (985) 626-3338 |
NPI Number | 1922266576 |
---|---|
Provider Enumeration Date | 05/30/2008 |
Last Update Date | 07/31/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922266576 | NPI | - | NPPES |
A2169 | Other | LA | BLUE CROSS BLUE SHIELD |
H2632 | Other | LA | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Randall L. Foto Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 Lotus Dr N, B, Mandeville, LA 70471 Phone: 985-626-4447 Fax: 985-674-6688 | |
Grand Dentistry Arbor Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 N. Causeway, Mandeville, LA 70448 Phone: 985-778-0096 | |
Jeffrey L Schwab Dds Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 Park Ave, Mandeville, LA 70448 Phone: 985-624-7707 | |
Grand Family Dentistry. Com Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2083 3rd St, Mandeville, LA 70471 Phone: 985-231-5796 Fax: 985-624-8881 | |