| R. Michael Warren, D.d.s., P.l.l.c. | |
|
695 San Antonio Ave Many LA 71449-3018 | |
| (318) 256-3641 | |
| Not Available |
| Full Name | R. Michael Warren, D.d.s., P.l.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 695 San Antonio Ave, Many, Louisiana |
| Authorized Official Name and Position | Robert Michael Warren (DENTIST) |
| Authorized Official Contact | 3182563641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R. Michael Warren, D.d.s., P.l.l.c. 695 San Antonio Ave Many LA 71449-3018 Ph: (318) 256-3641 | R. Michael Warren, D.d.s., P.l.l.c. 695 San Antonio Ave Many LA 71449-3018 Ph: (318) 256-3641 |
| NPI Number | 1013003243 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013003243 | NPI | - | NPPES |
| 717644 | Other | LA | UNITED CONCORDIA |
| 1847445 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4744 (Louisiana) | Primary |
Dr. Leah V. Byles, A Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Shreveport Hwy, Many, LA 71449 Phone: 318-256-5430 Fax: 318-256-5432 |