| Deep South Family Dentistry | |
|
1160 Hwy 51 North Ponchatoula LA 70454 | |
| (985) 386-9936 | |
| Not Available |
| Full Name | Deep South Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1160 Hwy 51 North, Ponchatoula, Louisiana |
| Authorized Official Name and Position | Gregg May (OWNER/DENTIST) |
| Authorized Official Contact | 9853869936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deep South Family Dentistry 1160 Hwy 51 North Ponchatoula LA 70454 Ph: (985) 386-9936 | Deep South Family Dentistry 1160 Hwy 51 North Ponchatoula LA 70454 Ph: (985) 386-9936 |
| NPI Number | 1508392069 |
|---|---|
| Provider Enumeration Date | 05/03/2017 |
| Last Update Date | 05/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508392069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5258 (Louisiana) | Primary |
Douglas M George Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 E Pine St, Ponchatoula, LA 70454 Phone: 318-348-4795 | |
Rae A. Gauthier, Dds, Llc Dba Ponchatoula Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 E Pine St, Ponchatoula, LA 70454 Phone: 985-687-3806 Fax: 985-386-8467 | |
Northshore Dental Associates Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1160 Highway 51, Ponchatoula, LA 70454 Phone: 985-386-9936 Fax: 985-386-5712 |