MEDICARE: FALLIN AND FALLIN FAMILY DENTISTRY COURSEY, LLC

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
1	261QD0000X	Dental Clinic/Center	4954	LA

General Provider Information

NPI Number	:	1699910869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FALLIN AND FALLIN FAMILY DENTISTRY COURSEY, LLC

Provider Business Mailing Address
First Line	:	13707 COURSEY BLVD
Second Line	:	#A
City	:	BATON ROUGE
State	:	LA
Zip	:	70817-1306
Country	:	US
Telephone Number	:	225-752-5241
Fax Number	:	225-752-8691

Provider Business Practice Location Address
First Line	:	13707 COURSEY BLVD
Second Line	:	#A
City	:	BATON ROUGE
State	:	LA
Zip	:	70817-1306
Country	:	US
Telephone Number	:	225-752-5241
Fax Number	:	225-752-8691

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LANCE E FALLIN
Credential	:	DDS
Telephone Number	:	225-654-2212

Provider Enumeration Date	:	12/02/2008
Last Update Date	:	12/02/2008

Similar Medicare Providers

1154697597 — RICHARD JOSEPH BORDELON R.PH.
Practice Location Address:

13707 COURSEY BLVD STE B
BATON ROUGE, LA
70817-1306

Practice Phone: 225-636-5229
Practice Fax: 225-626-5239

1639696396 — AMISHA A SURA DDS
Practice Location Address:

13707 COURSEY BLVD STE A
BATON ROUGE, LA
70817-1306

Practice Phone: 225-752-5241
Practice Fax:

1609149103 — AB GROUP HOME
Practice Location Address:

1306 MAIN ST
BATON ROUGE, LA
70802-4660

Practice Phone: 225-336-0349
Practice Fax: 225-336-5409

1386208890 — SHARI PHARES GRACI
Practice Location Address:

8155 JEFFERSON HWY APT 1306
BATON ROUGE, LA
70809-1621

Practice Phone: 318-419-7781
Practice Fax:

1003765801 — ERIONNE HARVEY
Practice Location Address:

1306 BOB PETTIT BLVD # 19
BATON ROUGE, LA
70820-3024

Practice Phone: 318-880-5610
Practice Fax:

1083714687 — YEREVAN PHARMACY INC
Practice Location Address:

10507 W JEFFERSON AVE
RIVER ROUGE, MI
48218-1306

Practice Phone: 313-842-2080
Practice Fax: 313-842-7901

Directions to “FALLIN AND FALLIN FAMILY DENTISTRY COURSEY, LLC ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.