| Theriot Family Dental Care- Baton Rouge | |
|
14608 S Harrells Ferry Rd Baton Rouge LA 70816-2926 | |
| (225) 751-9966 | |
| Not Available |
| Full Name | Theriot Family Dental Care- Baton Rouge |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14608 S Harrells Ferry Rd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Jeannie Theriot (MANAGER/OWNER) |
| Authorized Official Contact | 3372584939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theriot Family Dental Care- Baton Rouge 14608 S Harrells Ferry Rd Baton Rouge LA 70816-2926 Ph: (225) 751-9966 | Theriot Family Dental Care- Baton Rouge 14608 S Harrells Ferry Rd Baton Rouge LA 70816-2926 Ph: (225) 751-9966 |
| NPI Number | 1689168361 |
|---|---|
| Provider Enumeration Date | 06/18/2018 |
| Last Update Date | 06/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689168361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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