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NPI Code Detail

MEDICARE: DR. ERIN E BEAR DDS

MEDICARE: DR. ERIN E BEAR 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
1122300000XDentist5782LA

General Provider Information

NPI Number : 1912103441
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIN E BEAR DDS
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2007
Last Update Date : 07/26/2021

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Directions to “ DR. ERIN E BEAR DDS” Practice Location

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