| West Louisiana Dental Center | |
|
103 Belview Rd Leesville LA 71446-2902 | |
| (337) 239-5209 | |
| (337) 239-9764 |
| Full Name | West Louisiana Dental Center |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 103 Belview Rd, Leesville, Louisiana |
| Authorized Official Name and Position | Ralph Hennessee (OWNER/DR.) |
| Authorized Official Contact | 3372392509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Louisiana Dental Center 103 Belview Rd Leesville LA 71446-2902 Ph: (337) 239-5209 | West Louisiana Dental Center 103 Belview Rd Leesville LA 71446-2902 Ph: (337) 239-5209 |
| NPI Number | 1265514020 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265514020 | NPI | - | NPPES |
| H6076 | Other | LA | BC/BS OF LA |
| 3147896 | Other | LA | BC/BS OF TN |
| 1880272 | Medicaid | LA | |
| 808180 | Other | LA | UNITED CONCORDIA |
West Louisiana Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Belview Rd, Leesville, LA 71446 Phone: 337-239-2509 Fax: 337-239-9764 | |
Outpatient Medical Center, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 908 S 10th St Ste B, Leesville, LA 71446 Phone: 337-238-1274 Fax: 337-239-2225 | |
Dental Plus Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 S 6th St, Leesville, LA 71446 Phone: 337-238-2631 Fax: 337-238-0801 |