| Southern Dental Care | |
|
7301 Westbank Expy Marrero LA 70072-2448 | |
| (504) 347-1014 | |
| Not Available |
| Full Name | Southern Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7301 Westbank Expy, Marrero, Louisiana |
| Authorized Official Name and Position | Lacey Addison Andreotta (OWNER, DENTIST) |
| Authorized Official Contact | 5043471014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Dental Care 35330 Bond Dr Slidell LA 70460-6136 Ph: (985) 707-9122 | Southern Dental Care 7301 Westbank Expy Marrero LA 70072-2448 Ph: (504) 347-1014 |
| NPI Number | 1992115919 |
|---|---|
| Provider Enumeration Date | 04/29/2014 |
| Last Update Date | 04/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992115919 | NPI | - | NPPES |
| 1863505 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6350 (Louisiana) | Primary |
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