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BAYOU DENTAL HEALTH NPI 1265706295


NPI Information

NPI: 1265706295
Provider Name: BAYOU DENTAL HEALTH

Doing Business As: SMILES 2 GEAUX

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
6005 AIRLINE DR
METAIRIE, LA
ZIP 70003
Phone: (888) 242-1608
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BAYOU DENTAL HEALTH is a community health clinic center in Metairie, LA. BAYOU DENTAL HEALTH NPI is 1265706295. The provider is registered as an organization entity type.
The provider Is Doing Business As Smiles 2 Geaux.

The provider's business location address is:

6005 AIRLINE DR
METAIRIE, LA
ZIP 70003-330
Phone: (888) 242-1608

The provider's authorized official is Mahrufa Islam .
The authorized official title is Dental Director and has the following contact phone number (888) 242-1608.

The enumeration date for this NPI number is 3/8/2012 and was last updated on 11/13/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2261QC1500XClinic/CenterCommunity HealthYes

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
12880349MEDICAIDLOUISIANA

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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