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NPI Code Detail

MEDICARE: ERIN BEAR DDS AND ASSOCIATES

MEDICARE: ERIN BEAR DDS AND ASSOCIATES
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 Dentistry5782LA

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 : 1639517493
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIN BEAR DDS AND ASSOCIATES
Provider Business Mailing Address
First Line : 1432 PETERMAN DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3432
Country : US
Telephone Number : 318-442-9613
Fax Number : 318-442-9902
Provider Business Practice Location Address
First Line : 1432 PETERMAN DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3432
Country : US
Telephone Number : 318-442-9613
Fax Number : 318-442-9902
Authorized Official
Title or Position : OWNER
Name : DR. ERIN E BEAR
Credential : DDS
Telephone Number : 318-442-9613
Provider Enumeration Date : 06/13/2013
Last Update Date : 06/13/2013

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