Healthcare Provider Details

I. General information

NPI: 1295064509
Provider Name (Legal Business Name): ROBERT DAVID ORY, JR. AND BENJAMIN MONTEGAT ORY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2009
Last Update Date: 12/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 W. 5TH ST.
LAPLACE LA
70068
US

IV. Provider business mailing address

430 W. 5TH ST.
LAPLACE LA
70068
US

V. Phone/Fax

Practice location:
  • Phone: 985-652-9616
  • Fax: 985-652-9649
Mailing address:
  • Phone: 985-652-9616
  • Fax: 985-652-9649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT D. ORY JR.
Title or Position: DENTIST
Credential: D.D.S.
Phone: 985-652-9616