| |
1507 Lamy Ln Ste A Monroe LA 71201-3804 | |
(318) 361-0381 | |
(318) 388-4598 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1507 Lamy Ln, Monroe, Louisiana |
Authorized Official Name and Position | William C Johnston (DIRECT OWNER) |
Authorized Official Contact | 3183610381 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1507 Lamy Ln Ste A Monroe LA 71201-3804 Ph: (318) 361-0381 | 1507 Lamy Ln Ste A Monroe LA 71201-3804 Ph: (318) 361-0381 |
NPI Number | 1538377510 |
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Provider Enumeration Date | 05/21/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538377510 | NPI | - | NPPES |
824090 | Other | UNITED CONCORDIA | |
G6524 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3840 (Louisiana) | Primary |
Justin E Tarver Dds Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Lincoln Rd, Monroe, LA 71203 Phone: 318-343-6006 | |
Ryan D. Ward,d.d.s.llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3050 Forsythe Ave, Monroe, LA 71201 Phone: 318-387-6222 Fax: 318-387-1244 | |
Monroe Sleep Solutions Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2212 Justice St, Monroe, LA 71201 Phone: 318-325-5764 Fax: 318-325-7940 |