| Theriot Family Dental Care | |
|
4702 Johnston St Suite D Lafayette LA 70503-4501 | |
| (337) 984-3408 | |
| Not Available |
| Full Name | Theriot Family Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4702 Johnston St, Lafayette, Louisiana |
| Authorized Official Name and Position | John C Theriot (DENIST) |
| Authorized Official Contact | 3379843408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theriot Family Dental Care 4702 Johnston St Suite D Lafayette LA 70503-4501 Ph: () - | Theriot Family Dental Care 4702 Johnston St Suite D Lafayette LA 70503-4501 Ph: (337) 984-3408 |
| NPI Number | 1972788776 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972788776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5429 (Louisiana) | Primary |
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