| Sherrod L. Quin D.d.s. | |
|
1100 Florida Ave Box 137 New Orleans LA 70119-2714 | |
| (504) 941-8471 | |
| (504) 941-8389 |
| Full Name | Sherrod L. Quin D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 1100 Florida Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Sherrod L. Quin (FACULTY) |
| Authorized Official Contact | 5049418471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherrod L. Quin D.d.s. 1100 Florida Ave Box 137 New Orleans LA 70119-2714 Ph: (504) 941-8471 | Sherrod L. Quin D.d.s. 1100 Florida Ave Box 137 New Orleans LA 70119-2714 Ph: (504) 941-8471 |
| NPI Number | 1063597094 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 10/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063597094 | NPI | - | NPPES |
| 05777079 | Medicaid | MS | |
| 00064704 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | P114 (Louisiana) | Primary |
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