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NPI Code Detail

MEDICARE: GENE O DUPREE D.D.S.

MEDICARE:   GENE O DUPREE  D.D.S.
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
11223S0112XOral and Maxillofacial Surgery (Dentist)2529LA

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 : 1992720650
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENE O DUPREE D.D.S.
Provider Business Mailing Address
First Line : 3839 W CONGRESS ST STE C
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-6000
Country : US
Telephone Number : 337-984-0403
Fax Number : 337-981-9006
Provider Business Practice Location Address
First Line : 3839 W CONGRESS ST STE C
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-6000
Country : US
Telephone Number : 337-984-0403
Fax Number : 337-981-9006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 07/06/2016

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Directions to “ GENE O DUPREE D.D.S.” Practice Location

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