| Buller Family Dentistry Llc | |
|
908 6th St Mamou LA 70554-3122 | |
| (337) 468-2787 | |
| Not Available |
| Full Name | Buller Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 908 6th St, Mamou, Louisiana |
| Authorized Official Name and Position | Ryan Buller (OWNER) |
| Authorized Official Contact | 3374682787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buller Family Dentistry Llc 908 6th St Mamou LA 70554-3122 Ph: (337) 468-2787 | Buller Family Dentistry Llc 908 6th St Mamou LA 70554-3122 Ph: (337) 468-2787 |
| NPI Number | 1487133831 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 08/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487133831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6586 (Louisiana) | Primary |
Prentiss A. Perkins, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 908 6th St, Mamou, LA 70554 Phone: 337-468-2787 Fax: 337-468-2797 |