Healthcare Provider Details

I. General information

NPI: 1437713997
Provider Name (Legal Business Name): DENTAL SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2019
Last Update Date: 04/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5629 GOVERNMENT ST
BATON ROUGE LA
70806
US

IV. Provider business mailing address

5629 GOVERNMENT ST
BATON ROUGE LA
70806
US

V. Phone/Fax

Practice location:
  • Phone: 225-927-6624
  • Fax: 225-927-6664
Mailing address:
  • Phone: 225-927-6624
  • Fax: 225-927-6664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: CHARLES STEWART WILLIAMS
Title or Position: OWNER
Credential: DDS
Phone: 225-927-6624