| Yale Pediatric Dentistry | |
|
348 Veterans Blvd Denham Springs LA 70726-4721 | |
| (225) 664-2646 | |
| (225) 664-2640 |
| Full Name | Yale Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 348 Veterans Blvd, Denham Springs, Louisiana |
| Authorized Official Name and Position | Joseph Alexander Yale (OWNER) |
| Authorized Official Contact | 2256642646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yale Pediatric Dentistry 348 Veterans Blvd Denham Springs LA 70726-4721 Ph: (225) 664-2646 | Yale Pediatric Dentistry 348 Veterans Blvd Denham Springs LA 70726-4721 Ph: (225) 664-2646 |
| NPI Number | 1710222666 |
|---|---|
| Provider Enumeration Date | 12/04/2012 |
| Last Update Date | 12/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710222666 | NPI | - | NPPES |
| 1856754 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5675 (Louisiana) | Primary |
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