Healthcare Provider Details

I. General information

NPI: 1063521284
Provider Name (Legal Business Name): CARING FAMILY DENTISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14088 FLORIDA BLVD
LIVINGSTON LA
70754-6307
US

IV. Provider business mailing address

14088 FLORIDA BLVD P. O. BOX 1300
LIVINGSTON LA
70754
US

V. Phone/Fax

Practice location:
  • Phone: 225-686-7778
  • Fax: 225-686-7779
Mailing address:
  • Phone: 225-686-7778
  • Fax: 225-686-7779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number4437
License Number StateLA

VIII. Authorized Official

Name: DR. RONALD L MILTON
Title or Position: DENTIST OWNER
Credential: DDS
Phone: 225-686-7778