| Dr. Todd S. Brasuell Llc | |
|
189 Greenbrier Blvd Ste A Covington LA 70433-7297 | |
| (985) 892-5942 | |
| Not Available |
| Full Name | Dr. Todd S. Brasuell Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 189 Greenbrier Blvd Ste A, Covington, Louisiana |
| Authorized Official Name and Position | Theresa Margiotta (OFFICE MANAGER) |
| Authorized Official Contact | 9858925942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Todd S. Brasuell Llc 189 Greenbrier Blvd Ste A Covington LA 70433-7297 Ph: (985) 892-5942 | Dr. Todd S. Brasuell Llc 189 Greenbrier Blvd Ste A Covington LA 70433-7297 Ph: (985) 892-5942 |
| NPI Number | 1023732625 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023732625 | NPI | - | NPPES |
| 1855502 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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