Todays Dental Llc | |
5016 Highway 28 E Pineville LA 71360-4737 | |
(318) 448-4540 | |
(318) 484-2837 |
Full Name | Todays Dental Llc |
---|---|
Speciality | Dentist |
Location | 5016 Highway 28 E, Pineville, Louisiana |
Authorized Official Name and Position | Jonas E Gauthier (OWNER) |
Authorized Official Contact | 3184484540 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Todays Dental Llc 5016 Highway 28 E Pineville LA 71360-4737 Ph: (318) 448-4540 | Todays Dental Llc 5016 Highway 28 E Pineville LA 71360-4737 Ph: (318) 448-4540 |
NPI Number | 1225256332 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 06/09/2020 |
Medicare PECOS PAC ID | 0840586806 |
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Medicare Enrollment ID | O20160831001441 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225256332 | NPI | - | NPPES |
1881147 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4961 (Louisiana) | Primary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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