| Abita Dental Care Llc | |
|
71623 Hickory St Abita Springs LA 70420-3850 | |
| (985) 892-3250 | |
| (985) 892-3153 |
| Full Name | Abita Dental Care Llc |
|---|---|
| Speciality | Dentist |
| Location | 71623 Hickory St, Abita Springs, Louisiana |
| Authorized Official Name and Position | Steven E Pfingsten (MEMBER) |
| Authorized Official Contact | 9858923250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abita Dental Care Llc Po Box 515 Abita Springs LA 70420-0515 Ph: (985) 892-3250 | Abita Dental Care Llc 71623 Hickory St Abita Springs LA 70420-3850 Ph: (985) 892-3250 |
| NPI Number | 1710125216 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 01/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710125216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5768 (Louisiana) | Secondary |
| 122300000X | Dentist | 5054 (Louisiana) | Primary |
Louis P. Nogues, Iii, Dds, A Professional Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22464 Highway 435, Abita Springs, LA 70420 Phone: 985-892-8712 Fax: 985-893-3867 |