Healthcare Provider Details

I. General information

NPI: 1083281257
Provider Name (Legal Business Name): AUSTIN DANIEL SAFFORD DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2021
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13431 TIGER BEND RD
BATON ROUGE LA
70817-4518
US

IV. Provider business mailing address

2039 OAKDALE DR
BATON ROUGE LA
70810-1864
US

V. Phone/Fax

Practice location:
  • Phone: 225-753-0123
  • Fax: 225-753-0626
Mailing address:
  • Phone: 225-571-5008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7216
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: