DEEPSOUTH FAMILY DENTISTRY METAIRIE NPI 1346756905

NPI Information

DEEPSOUTH FAMILY DENTISTRY METAIRIE is a dental clinic center in Metairie, LA. DEEPSOUTH FAMILY DENTISTRY METAIRIE NPI is 1346756905. The provider is registered as an organization entity type.

The provider's business location address is:

3939 N CAUSEWAY BLVD STE 104
METAIRIE, LA
ZIP 70002-777
Phone: (504) 303-4049

The provider's authorized official is Gregg May .
The authorized official title is Owner and has the following contact phone number (985) 386-9936.

The enumeration date for this NPI number is 12/19/2017 and was last updated on 6/20/2018.

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:

Other Identifiers

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