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NPI Code Detail

MEDICARE: DR. AIMEE DUPREE LEDET DDS

MEDICARE: DR. AIMEE DUPREE LEDET 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
11223G0001XGeneral Practice Dentistry6853LA

General Provider Information

NPI Number : 1003392234
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AIMEE DUPREE LEDET DDS
Provider Business Mailing Address
First Line : 163 EMPORIUM AVE
Second Line :
City : THIBODAUX
State : LA
Zip : 70301-3767
Country : US
Telephone Number : 985-446-1917
Fax Number : 985-446-1918
Provider Business Practice Location Address
First Line : 163 EMPORIUM AVE
Second Line :
City : THIBODAUX
State : LA
Zip : 70301-8096
Country : US
Telephone Number : 984-446-1917
Fax Number : 985-446-1918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2018
Last Update Date : 05/15/2024

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