| Clayton J. Charbonnet Jr.,d.d.s.,a.p.o. | |
|
61 Park Place Dr Suite B Covington LA 70433-5290 | |
| (985) 867-3636 | |
| Not Available |
| Full Name | Clayton J. Charbonnet Jr.,d.d.s.,a.p.o. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 61 Park Place Dr, Covington, Louisiana |
| Authorized Official Name and Position | Clayton J. Charbonnet (DOCTOR) |
| Authorized Official Contact | 9858673636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton J. Charbonnet Jr.,d.d.s.,a.p.o. 61 Park Place Dr Suite B Covington LA 70433-5290 Ph: (985) 867-3636 | Clayton J. Charbonnet Jr.,d.d.s.,a.p.o. 61 Park Place Dr Suite B Covington LA 70433-5290 Ph: (985) 867-3636 |
| NPI Number | 1679626329 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679626329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2349 (Louisiana) | Primary |
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