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NPI Code Detail

MEDICARE: AINSLI ELIZABETH HOLLIER DDS

MEDICARE: AINSLI ELIZABETH HOLLIER 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
11223P0221XPediatric Dentistry6783LA

General Provider Information

NPI Number : 1821527128
Entity Type Code : Individual
Provider Name (Legal Business Name) : AINSLI ELIZABETH HOLLIER DDS
Provider Business Mailing Address
First Line : 2912 JOHNSTON ST
Second Line :
City : LAFAYETTE
State : LA
Zip : 70503-3246
Country : US
Telephone Number : 337-568-0322
Fax Number :
Provider Business Practice Location Address
First Line : 2912 JOHNSTON ST
Second Line :
City : LAFAYETTE
State : LA
Zip : 70503-3246
Country : US
Telephone Number : 337-568-0322
Fax Number : 337-568-0316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2017
Last Update Date : 01/09/2026

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