|
| |
|
842 N Collins Blvd Covington LA 70433-2759 | |
| (985) 809-1889 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 842 N Collins Blvd, Covington, Louisiana |
| Authorized Official Name and Position | Dimetry B Cossich (OWNER) |
| Authorized Official Contact | 9858925111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
842 N Collins Blvd Covington LA 70433-2759 Ph: (985) 809-1889 | 842 N Collins Blvd Covington LA 70433-2759 Ph: (985) 809-1889 |
| NPI Number | 1205140308 |
|---|---|
| Provider Enumeration Date | 07/30/2010 |
| Last Update Date | 07/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205140308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4266 (Louisiana) | Primary |
Burvant Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W 18th Ave, Covington, LA 70433 Phone: 985-892-2403 | |
St. Tammany Periodontics & Implants Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5024 Keystone Blvd Ste A, Covington, LA 70433 Phone: 985-778-0241 Fax: 985-778-0428 | |
Collins Blvd Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 842 N. Collins Blvd, Suite F, Covington, LA 70433 Phone: 985-809-1889 Fax: 985-809-9553 | |
Charles T. Coleman, D.m.d.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5207 Pinnacle Pkwy, Covington, LA 70433 Phone: 985-893-4882 Fax: 985-893-4883 |