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NPI Code Detail

MEDICARE: DR. L. STEPHEN ORTEGO DDS

MEDICARE: DR. L. STEPHEN ORTEGO 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 Dentistry3996LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457497901
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. L. STEPHEN ORTEGO DDS
Provider Business Mailing Address
First Line : 5813 MONROE HWY
Second Line :
City : BALL
State : LA
Zip : 71405-3362
Country : US
Telephone Number : 318-640-1470
Fax Number : 318-640-4700
Provider Business Practice Location Address
First Line : 5813 MONROE HWY
Second Line :
City : BALL
State : LA
Zip : 71405-3362
Country : US
Telephone Number : 318-640-1470
Fax Number : 318-640-4700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/08/2007

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Directions to “ DR. L. STEPHEN ORTEGO DDS” Practice Location

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