| Bluebonnet Dental Care - Slidell | |
|
2170 Gause Boulevard Suite 133 Slidell LA 70460 | |
| (985) 649-0006 | |
| (985) 649-0018 |
| Full Name | Bluebonnet Dental Care - Slidell |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2170 Gause Boulevard, Slidell, Louisiana |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebonnet Dental Care - Slidell 2170 Gause Boulevard West Suite 133 Slidell LA 70460 Ph: (985) 649-0006 | Bluebonnet Dental Care - Slidell 2170 Gause Boulevard Suite 133 Slidell LA 70460 Ph: (985) 649-0006 |
| NPI Number | 1548607674 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 09/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548607674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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