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PINECREST DEVELOPMENTAL CENTER NPI 1174852875


NPI Information

NPI: 1174852875
Provider Name: PINECREST DEVELOPMENTAL CENTER

Doing Business As: PINECREST DENTAL CLINIC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
100 PINECREST DR
ATTN: PAXTON OLIVER
PINEVILLE, LA
ZIP 71360
Phone: (318) 487-5395
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PINECREST DEVELOPMENTAL CENTER is a dental clinic center in Pineville, LA. PINECREST DEVELOPMENTAL CENTER NPI is 1174852875. The provider is registered as an organization entity type.
The provider Is Doing Business As Pinecrest Dental Clinic.

The provider's business location address is:

100 PINECREST DR
ATTN: PAXTON OLIVER
PINEVILLE, LA
ZIP 71360-276
Phone: (318) 487-5395
Fax: (318) 487-5463

The provider's authorized official is Paxton E. Oliver .
The authorized official title is Mr/dd Regional Assoc. Administrator and has the following contact phone number (318) 487-5395.

The enumeration date for this NPI number is 12/9/2009 and was last updated on 12/9/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalLOUISIANAYes

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: 5/5/2024

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