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LOUISIANA DENTAL GROUP INC NPI 1942442769


NPI Information

NPI: 1942442769
Provider Name: LOUISIANA DENTAL GROUP, INC,
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4702 JOHNSTON ST
SUITE D
LAFAYETTE, LA
ZIP 70503
Phone: (337) 984-3408
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LOUISIANA DENTAL GROUP, INC, is a general practice dentist in Lafayette, LA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LOUISIANA DENTAL GROUP, INC, NPI is 1942442769. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4702 JOHNSTON ST
SUITE D
LAFAYETTE, LA
ZIP 70503-501
Phone: (337) 984-3408
Fax: (337) 984-9898

The provider's authorized official is Jeannie Theriot .
The authorized official title is Office Manager and has the following contact phone number (337) 258-4939.

The enumeration date for this NPI number is 3/25/2009 and was last updated on 3/25/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice5739LOUISIANANo
21223G0001XDentistGeneral Practice5429LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11335240MEDICAIDLOUISIANA
21334855MEDICAIDLOUISIANA
31854298MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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