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NPI Code Detail

MEDICARE: GERALD A BAUDIN DDS

MEDICARE:   GERALD A BAUDIN  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistLA2682LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427045343
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD A BAUDIN DDS
Provider Business Mailing Address
First Line : 2623 SOUTH DR
Second Line :
City : ABBEVILLE
State : LA
Zip : 70510-4044
Country : US
Telephone Number : 337-893-6033
Fax Number : 337-893-6074
Provider Business Practice Location Address
First Line : 2623 SOUTH DR
Second Line :
City : ABBEVILLE
State : LA
Zip : 70510-4044
Country : US
Telephone Number : 337-893-6033
Fax Number : 337-893-6074
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 07/08/2007

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Directions to “ GERALD A BAUDIN DDS” Practice Location

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