| Northshore Dental Associates Llc | |
|
1160 Highway 51 Ponchatoula LA 70454-6365 | |
| (985) 386-9936 | |
| (985) 386-5712 |
| Full Name | Northshore Dental Associates Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1160 Highway 51, Ponchatoula, Louisiana |
| Authorized Official Name and Position | Jason S Chawla (OWNER) |
| Authorized Official Contact | 9857748104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Dental Associates Llc 1160 Highway 51 Ponchatoula LA 70454-6365 Ph: (985) 386-9936 | Northshore Dental Associates Llc 1160 Highway 51 Ponchatoula LA 70454-6365 Ph: (985) 386-9936 |
| NPI Number | 1588135404 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588135404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Douglas M George Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 E Pine St, Ponchatoula, LA 70454 Phone: 318-348-4795 | |
Rae A. Gauthier, Dds, Llc Dba Ponchatoula Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 E Pine St, Ponchatoula, LA 70454 Phone: 985-687-3806 Fax: 985-386-8467 | |
Deep South Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1160 Hwy 51 North, Ponchatoula, LA 70454 Phone: 985-386-9936 |