NELA DENTAL OF FARMERVILLE LLC NPI 1881968402

NPI Information

NPI: 1881968402
Provider Name: NELA DENTAL OF FARMERVILLE, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
7699 HIGHWAY 2
FARMERVILLE, LA
ZIP 71241
Phone: (318) 368-9518
Get Directions

NELA DENTAL OF FARMERVILLE, LLC is a dental clinic center in Farmerville, LA. NELA DENTAL OF FARMERVILLE, LLC NPI is 1881968402. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7699 HIGHWAY 2
FARMERVILLE, LA
ZIP 71241-165
Phone: (318) 368-9518
Fax: (318) 368-4480

The provider's authorized official is Carla Dawn Costello .
The authorized official title is Business Manager and has the following contact phone number (318) 737-0965.

The enumeration date for this NPI number is 2/29/2012 and was last updated on 2/21/2023.

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
1	1223G0001X	Dentist	General Practice	5630	LOUISIANA	No
2	261QD0000X	Clinic/Center	Dental			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	26171	MEDICAID	LOUISIANA

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

NPI Synchronization or Removal

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