| Smilestars, Llc | |
|
10522 S Glenstone Pl Baton Rouge LA 70810-2875 | |
| (225) 769-5377 | |
| (225) 769-7910 |
| Full Name | Smilestars, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10522 S Glenstone Pl, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Steven Ripple (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2257695377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilestars, Llc 10522 S Glenstone Pl Baton Rouge LA 70810-2875 Ph: (225) 769-5377 | Smilestars, Llc 10522 S Glenstone Pl Baton Rouge LA 70810-2875 Ph: (225) 769-5377 |
| NPI Number | 1093879322 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093879322 | NPI | - | NPPES |
| 1881040 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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