| Crescent City Dentistry St. Rose, L.l.c. | |
|
10964 River Rd Saint Rose LA 70087 | |
| (504) 486-9778 | |
| Not Available |
| Full Name | Crescent City Dentistry St. Rose, L.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10964 River Rd, Saint Rose, Louisiana |
| Authorized Official Name and Position | Cleopatra Eyvonne Thompson (CEO) |
| Authorized Official Contact | 5044869778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent City Dentistry St. Rose, L.l.c. 8229 Jefferson Hwy Harahan LA 70123-4617 Ph: (504) 739-9778 | Crescent City Dentistry St. Rose, L.l.c. 10964 River Rd Saint Rose LA 70087 Ph: (504) 486-9778 |
| NPI Number | 1649542028 |
|---|---|
| Provider Enumeration Date | 02/01/2012 |
| Last Update Date | 02/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649542028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5373 (Louisiana) | Primary |