| Mansfield Dental Clinic Llc | |
|
126 Jefferson St Mansfield LA 71052-2600 | |
| (318) 872-1557 | |
| (318) 872-3064 |
| Full Name | Mansfield Dental Clinic Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 126 Jefferson St, Mansfield, Louisiana |
| Authorized Official Name and Position | Andrew G Murphy (GENERAL DENTIST/OWNER) |
| Authorized Official Contact | 3188721557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mansfield Dental Clinic Llc 126 Jefferson St Mansfield LA 71052-2600 Ph: (318) 872-1557 | Mansfield Dental Clinic Llc 126 Jefferson St Mansfield LA 71052-2600 Ph: (318) 872-1557 |
| NPI Number | 1871855387 |
|---|---|
| Provider Enumeration Date | 06/11/2012 |
| Last Update Date | 06/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871855387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Sr Mansfield Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 Jefferson St, Mansfield, LA 71052 Phone: 318-872-1557 |