MEDICARE: MERRELL IRBY FRAMPTON D.D.S.

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	6198	LA

General Provider Information

NPI Number	:	1124466628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERRELL IRBY FRAMPTON D.D.S.

Provider Business Mailing Address
First Line	:	6100 PONCHARTRAIN BLVD
Second Line	:	STE. 202
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124
Country	:	US
Telephone Number	:	504-283-8873
Fax Number	:

Provider Business Practice Location Address
First Line	:	6100 PONCHARTRAIN BLVD.
Second Line	:	STE. 202
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-7011
Country	:	US
Telephone Number	:	504-283-8873
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2013
Last Update Date	:	09/18/2019

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