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NPI Code Detail

MEDICARE: NEW ORLEANS DENTAL CENTER

MEDICARE: NEW ORLEANS DENTAL CENTER
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
11223G0001XGeneral Practice Dentistry3708LA

General Provider Information

NPI Number : 1629060538
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW ORLEANS DENTAL CENTER
Provider Business Mailing Address
First Line : 3909 LAPALCO BLVD
Second Line : SUITE 202
City : HARVEY
State : LA
Zip : 70058-2302
Country : US
Telephone Number : 504-347-6000
Fax Number :
Provider Business Practice Location Address
First Line : 3909 LAPALCO BLVD
Second Line : SUITE 202
City : HARVEY
State : LA
Zip : 70058-2302
Country : US
Telephone Number : 504-347-6000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DWIGHT LANDRY
Credential : D.D.S.
Telephone Number : 504-347-6000
Provider Enumeration Date : 08/17/2005
Last Update Date : 08/22/2020

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Directions to “NEW ORLEANS DENTAL CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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