| Wightman Family Dental | |
|
2212 Paris Rd Chalmette LA 70043-5025 | |
| (504) 272-0870 | |
| (504) 302-9054 |
| Full Name | Wightman Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2212 Paris Rd, Chalmette, Louisiana |
| Authorized Official Name and Position | Mark Joseph Wightman (DENTIST/OWNER) |
| Authorized Official Contact | 5042720870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wightman Family Dental 2212 Paris Rd Chalmette LA 70043-5025 Ph: (504) 272-0870 | Wightman Family Dental 2212 Paris Rd Chalmette LA 70043-5025 Ph: (504) 272-0870 |
| NPI Number | 1013179746 |
|---|---|
| Provider Enumeration Date | 06/25/2008 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013179746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5746 (Louisiana) | Secondary |
| 1223G0001X | Dentist - General Practice | 5747 (Louisiana) | Primary |
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