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NPI Code Detail

MEDICARE: DR. ANN MARGUERITE BEHRENDS D.D.S.

MEDICARE: DR. ANN MARGUERITE BEHRENDS 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
1122300000XDentist16951TX
21223P0700XProsthodontics16951TX

General Provider Information

NPI Number : 1477620664
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN MARGUERITE BEHRENDS D.D.S.
Provider Business Mailing Address
First Line : 7223 MISSISSIPPI AVE.
Second Line :
City : FORT POLK
State : LA
Zip : 71459
Country : US
Telephone Number : 337-531-2327
Fax Number :
Provider Business Practice Location Address
First Line : 7223 MISSISSIPPI AVE.
Second Line : BLDG 1561
City : FORT POLK
State : LA
Zip : 71459
Country : US
Telephone Number : 337-532-2327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 06/01/2023

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