| Sandefer Premier Dental, Llc | |
|
1291 Florida Ave Sw Denham Springs LA 70726-4635 | |
| (225) 664-4121 | |
| (225) 664-7774 |
| Full Name | Sandefer Premier Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1291 Florida Ave Sw, Denham Springs, Louisiana |
| Authorized Official Name and Position | Clint Nathan Sandefer (OWNER) |
| Authorized Official Contact | 2256644121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandefer Premier Dental, Llc 1291 Florida Ave Sw Denham Springs LA 70726-4635 Ph: (225) 664-4121 | Sandefer Premier Dental, Llc 1291 Florida Ave Sw Denham Springs LA 70726-4635 Ph: (225) 664-4121 |
| NPI Number | 1679922033 |
|---|---|
| Provider Enumeration Date | 06/07/2016 |
| Last Update Date | 06/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679922033 | NPI | - | NPPES |
| 1856584 | Medicaid | LA | |
| 32053 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dr. Douglas D. Strickland And Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 N Range Ave, Denham Springs, LA 70726 Phone: 225-665-1212 Fax: 225-664-7404 | |
Gayle M Sanchez Dds Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2281 S Range Ave, Denham Springs, LA 70726 Phone: 225-664-7011 Fax: 225-667-5893 | |
Leanne T. Smith Dds, A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2281 S Range Ave Ste B, Denham Springs, LA 70726 Phone: 225-664-7011 Fax: 225-667-5893 | |
Dr Tracy C Benton Dds Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 South Range Ave, Denham Springs, LA 70726 Phone: 225-664-0040 |