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DLS OF ALEXANDRIA NPI 1730549700


NPI Information

NPI: 1730549700
Provider Name: DLS OF ALEXANDRIA

Doing Business As: JOHN C MOREAU JR DDS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3820 MASONIC DR
ALEXANDRIA, LA
ZIP 71301
Phone: (318) 442-9555
Get Directions

DLS OF ALEXANDRIA is a general practice dentist in Alexandria, 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. DLS OF ALEXANDRIA NPI is 1730549700. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As John C Moreau Jr Dds.

The provider's business location address is:

3820 MASONIC DR
ALEXANDRIA, LA
ZIP 71301-628
Phone: (318) 442-9555
Fax: (318) 442-0475

The provider's authorized official is John C Moreau .
The authorized official title is Owner and has the following contact phone number (318) 442-9555.

The enumeration date for this NPI number is 3/3/2016 and was last updated on 3/3/2016.


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 Practice3992LOUISIANAYes

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
11839922MEDICAIDLOUISIANA

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: 11/14/2023

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