| Ascension Oral Surgery, Llc | |
|
16260 Airline Hwy Suite A Prairieville LA 70769-4272 | |
| (225) 744-2660 | |
| (225) 744-2666 |
| Full Name | Ascension Oral Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 16260 Airline Hwy, Prairieville, Louisiana |
| Authorized Official Name and Position | Mark Richard Josephs (ORAL AND MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 2257442660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Oral Surgery, Llc 16260 Airline Hwy Suite A Prairieville LA 70769-4272 Ph: (225) 744-2660 | Ascension Oral Surgery, Llc 16260 Airline Hwy Suite A Prairieville LA 70769-4272 Ph: (225) 744-2660 |
| NPI Number | 1992051007 |
|---|---|
| Provider Enumeration Date | 07/25/2012 |
| Last Update Date | 07/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992051007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6296 (Louisiana) | Primary |
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