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NPI Code Detail

MEDICARE: TROY A BABB DDS

MEDICARE: TROY A BABB DDS
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
1122300000XDentist6163LA

General Provider Information

NPI Number : 1003100454
Entity Type Code : Individual
Provider Name (Legal Business Name) : TROY A BABB DDS
Provider Business Mailing Address
First Line : 150 H BRYANT RD
Second Line :
City : DEVILLE
State : LA
Zip : 71328-9232
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1432 PETERMAN DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3432
Country : US
Telephone Number : 318-715-9906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2011
Last Update Date : 06/02/2011

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Directions to “ TROY A BABB DDS” Practice Location

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