| Palmer And Obrien Family Dentistry, Llc | |
|
6150 Line Ave Shreveport LA 71106-2051 | |
| (318) 868-5726 | |
| (318) 868-7546 |
| Full Name | Palmer And Obrien Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6150 Line Ave, Shreveport, Louisiana |
| Authorized Official Name and Position | Tonya Lyman (INSURANCE COORDINATOR) |
| Authorized Official Contact | 3188685726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmer And Obrien Family Dentistry, Llc 6150 Line Ave Shreveport LA 71106-2051 Ph: (318) 868-5726 | Palmer And Obrien Family Dentistry, Llc 6150 Line Ave Shreveport LA 71106-2051 Ph: (318) 868-5726 |
| NPI Number | 1467094789 |
|---|---|
| Provider Enumeration Date | 10/09/2019 |
| Last Update Date | 10/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467094789 | NPI | - | NPPES |
| 14481 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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