Prentiss A. Perkins, D.d.s. | |
908 6th St Mamou LA 70554-3122 | |
(337) 468-2787 | |
(337) 468-2797 |
Full Name | Prentiss A. Perkins, D.d.s. |
---|---|
Speciality | Dentist |
Location | 908 6th St, Mamou, Louisiana |
Authorized Official Name and Position | Betsy St. Ann (SECRETARY) |
Authorized Official Contact | 3374682787 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prentiss A. Perkins, D.d.s. 908 6th St Mamou LA 70554-3122 Ph: (337) 468-2787 | Prentiss A. Perkins, D.d.s. 908 6th St Mamou LA 70554-3122 Ph: (337) 468-2787 |
NPI Number | 1871944876 |
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Provider Enumeration Date | 06/30/2016 |
Last Update Date | 06/30/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871944876 | NPI | - | NPPES |
6659 | Medicaid | LA | |
31337 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3999 (Louisiana) | Primary |
Buller Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 908 6th St, Mamou, LA 70554 Phone: 337-468-2787 |