Dr Tamma L Johnson-gray, DDS | |
3508 Groom Rd, Baker, LA 70714-3508 | |
(225) 774-3934 | |
Not Available |
Full Name | Dr Tamma L Johnson-gray |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 3508 Groom Rd, Baker, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1013079839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8170 (Tennessee) | Primary |
122300000X | Dentist | 6435 (Louisiana) | Secondary |
Entity Name | Hiv-aids Alliance For Region Two |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437527900 PECOS PAC ID: 4880981158 Enrollment ID: O20181101000702 |
Mailing Address | Practice Location Address |
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Dr Tamma L Johnson-gray, DDS 1153 Cornerstone Dr, Baton Rouge, LA 70810-4774 Ph: (225) 953-3576 | Dr Tamma L Johnson-gray, DDS 3508 Groom Rd, Baker, LA 70714-3508 Ph: (225) 774-3934 |
Dr. John Barry Babin, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 12511 Plank Rd, Baker, LA 70714 Phone: 224-774-6446 Fax: 224-774-6608 | |
Dr. Robert Brett Rabel, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3114 Groom Rd, Baker, LA 70714 Phone: 225-775-0160 Fax: 225-775-0230 | |
Dr. Michael Nuss Rabel, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3114 Groom Rd, Baker, LA 70714 Phone: 225-775-0160 Fax: 225-775-0230 | |
Dr. Larry Ralph Germany, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14829 Plank Rd, Baker, LA 70714 Phone: 225-775-2213 | |
Dr. Joan Tabatha Fisher-ranel, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12841 Plank Rd, Suite A, Baker, LA 70714 Phone: 225-775-3552 Fax: 225-775-3569 | |
Dr. Tracy Manuel Crear, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3508 Groom Rd, Baker, LA 70714 Phone: 225-374-3934 Fax: 225-374-9980 |