| Smart Dental Care Prairieville, Llc | |
|
37290 Old Perkins Rd Prairieville LA 70769-3764 | |
| (225) 677-9999 | |
| (225) 677-9993 |
| Full Name | Smart Dental Care Prairieville, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 37290 Old Perkins Rd, Prairieville, Louisiana |
| Authorized Official Name and Position | Jeremy Emmett Moore (DOCTOR/OWNER) |
| Authorized Official Contact | 2256779999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Dental Care Prairieville, Llc 37290 Old Perkins Rd Prairieville LA 70769-3764 Ph: (225) 677-9999 | Smart Dental Care Prairieville, Llc 37290 Old Perkins Rd Prairieville LA 70769-3764 Ph: (225) 677-9999 |
| NPI Number | 1275067282 |
|---|---|
| Provider Enumeration Date | 04/17/2017 |
| Last Update Date | 04/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275067282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5491 (Louisiana) | Primary |
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