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MANDEVILLE DENTAL CARE LLC NPI 1841428315


NPI Information

NPI: 1841428315
Provider Name: MANDEVILLE DENTAL CARE, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2581 FLORIDA STREET
SUITE A
MANDEVILLE, LA
ZIP 70448
Phone: (985) 674-3114
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MANDEVILLE DENTAL CARE, LLC is a dental clinic center in Mandeville, LA. MANDEVILLE DENTAL CARE, LLC NPI is 1841428315. The provider is registered as an organization entity type.

The provider's business location address is:

2581 FLORIDA STREET
SUITE A
MANDEVILLE, LA
ZIP 70448
Phone: (985) 674-3114
Fax: (985) 892-2579

The provider's authorized official is David F Davenport .
The authorized official title is Owner/dentist and has the following contact phone number (985) 674-3114.

The enumeration date for this NPI number is 6/23/2009 and was last updated on 6/23/2009.


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/CenterDental5713LOUISIANAYes

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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