| Roundtree Family Dentistry | |
|
705 Plantation Rd Thibodaux LA 70301-4303 | |
| (985) 446-8821 | |
| (985) 447-7420 |
| Full Name | Roundtree Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 705 Plantation Rd, Thibodaux, Louisiana |
| Authorized Official Name and Position | Brian Michael Roundtree (OWNER/DOCTOR) |
| Authorized Official Contact | 9854468821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roundtree Family Dentistry 705 Plantation Rd Thibodaux LA 70301-4303 Ph: (985) 446-8821 | Roundtree Family Dentistry 705 Plantation Rd Thibodaux LA 70301-4303 Ph: (985) 446-8821 |
| NPI Number | 1639612641 |
|---|---|
| Provider Enumeration Date | 11/22/2016 |
| Last Update Date | 11/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639612641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6023 (Louisiana) | Primary |
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