| Exceptional Dental Of Louisiana, Llc | |
|
400 Lapalco Blvd Ste B Gretna LA 70056-7372 | |
| (504) 370-9220 | |
| (504) 507-8880 |
| Full Name | Exceptional Dental Of Louisiana, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 400 Lapalco Blvd Ste B, Gretna, Louisiana |
| Authorized Official Name and Position | Samantha Coats (INSURANCE CREDENTIALING MANAGER) |
| Authorized Official Contact | 5046092599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exceptional Dental Of Louisiana, Llc 400 Lapalco Blvd Ste B Gretna LA 70056-7372 Ph: (504) 370-9220 | Exceptional Dental Of Louisiana, Llc 400 Lapalco Blvd Ste B Gretna LA 70056-7372 Ph: (504) 370-9220 |
| NPI Number | 1023674777 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 02/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023674777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Crescent City Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Ochsner Blvd Ste 200, Gretna, LA 70056 Phone: 504-391-2324 | |
Dr. Kenneth E. Alfortish Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 Whitney Ave, Gretna, LA 70056 Phone: 504-368-2792 Fax: 504-368-2827 | |
James A Heurtin Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Meadowcrest St, Ste 100, Gretna, LA 70056 Phone: 504-392-6057 Fax: 504-391-2429 | |
Randall M. Wilk, Md, Dds, Phd, Apmc Dental Clinic Medicare: Medicare Enrolled Practice Location: 120 Meadowcrest St, #300, Gretna, LA 70056 Phone: 504-362-6135 Fax: 504-362-6134 | |
Juan C. Melguizo, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Meadowcrest St, Suite B, Gretna, LA 70056 Phone: 504-394-4990 Fax: 504-394-4903 |