W . Jarrod Gregg, Dds, Llc | |
1148 Logan Sewell Dr Vidalia LA 71373-3342 | |
(318) 336-5711 | |
Not Available |
Full Name | W . Jarrod Gregg, Dds, Llc |
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Speciality | Clinic/center - Dental |
Location | 1148 Logan Sewell Dr, Vidalia, Louisiana |
Authorized Official Name and Position | Melissa W Gregg (OFFICE MANAGER) |
Authorized Official Contact | 3183365711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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W . Jarrod Gregg, Dds, Llc 1148 Logan Sewell Dr Vidalia LA 71373-3342 Ph: () - | W . Jarrod Gregg, Dds, Llc 1148 Logan Sewell Dr Vidalia LA 71373-3342 Ph: (318) 336-5711 |
NPI Number | 1407479819 |
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Provider Enumeration Date | 05/20/2020 |
Last Update Date | 05/20/2020 |
Identifier | Type | State | Issuer |
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1407479819 | NPI | - | NPPES |
29821 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |