MEDICARE: DR. ERIC CHRISTOPHER HEBERT 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	1223P0300X	Periodontics	6158	LA

General Provider Information

NPI Number	:	1538456207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC CHRISTOPHER HEBERT D.D.S.

Provider Business Mailing Address
First Line	:	3521 N ARNOULT RD
Second Line	:	SUITE A
City	:	METAIRIE
State	:	LA
Zip	:	70002-3395
Country	:	US
Telephone Number	:	504-885-2611
Fax Number	:

Provider Business Practice Location Address
First Line	:	3521 N ARNOULT RD
Second Line	:	SUITE A
City	:	METAIRIE
State	:	LA
Zip	:	70002-3395
Country	:	US
Telephone Number	:	504-885-2611
Fax Number	:

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

Provider Enumeration Date	:	07/01/2011
Last Update Date	:	01/09/2015

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