LAKE AREA DENTISTRY-CARLYSS NPI 1043706252

NPI Information

NPI: 1043706252
Provider Name: LAKE AREA DENTISTRY-CARLYSS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4985 HIGHWAY 27 S
SULPHUR, LA
ZIP 70665
Phone: (337) 583-2756
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LAKE AREA DENTISTRY-CARLYSS is a dental clinic center in Sulphur, LA. LAKE AREA DENTISTRY-CARLYSS NPI is 1043706252. The provider is registered as an organization entity type.

The provider's business location address is:

4985 HIGHWAY 27 S
SULPHUR, LA
ZIP 70665-571
Phone: (337) 583-2756

The provider's authorized official is Jeffery Hennigan .
The authorized official title is Owner and has the following contact phone number (337) 478-8470.

The enumeration date for this NPI number is 7/11/2018 and was last updated on 7/11/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	LA-6269	LOUISIANA	Yes

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

NPI Synchronization or Removal

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