| Phillip L Stelly Dds A Professionel Dental Corp | |
|
258 Arceneaux Rd Carencro LA 70520 | |
| (337) 896-9132 | |
| (337) 896-7852 |
| Full Name | Phillip L Stelly Dds A Professionel Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 258 Arceneaux Rd, Carencro, Louisiana |
| Authorized Official Name and Position | Phillip L Stelly (OWNER DENTIST) |
| Authorized Official Contact | 3378963267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip L Stelly Dds A Professionel Dental Corp 258 Arceneaux Rd Carencro LA 70520 Ph: (337) 896-3267 | Phillip L Stelly Dds A Professionel Dental Corp 258 Arceneaux Rd Carencro LA 70520 Ph: (337) 896-9132 |
| NPI Number | 1932227113 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 10/01/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932227113 | NPI | - | NPPES |
| 1844535 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4453 (Louisiana) | Primary |
Michele Lavergne Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4306 N University Ave, Carencro, LA 70520 Phone: 337-896-3062 Fax: 337-896-3014 | |
Bumgardner Family Dental, Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4306 N. University, Carencro, LA 70520 Phone: 337-896-3062 | |
Thomas Kennedy, Dds Of Louisiana Ii, A Professional Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Derek Plaza, Ste E, Carencro, LA 70520 Phone: 337-520-0196 |