| Dr. Dwight D Landry A Professional Dental Corporation - Geismar | |
|
13353 Highway 73 Suite A Geismar LA 70734-3000 | |
| (225) 673-0000 | |
| (225) 673-1807 |
| Full Name | Dr. Dwight D Landry A Professional Dental Corporation - Geismar |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13353 Highway 73, Geismar, Louisiana |
| Authorized Official Name and Position | Dwight D Landry (OWNER) |
| Authorized Official Contact | 2256730000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Dwight D Landry A Professional Dental Corporation - Geismar 13353 Highway 73 Suite A Geismar LA 70734-3000 Ph: (225) 673-0000 | Dr. Dwight D Landry A Professional Dental Corporation - Geismar 13353 Highway 73 Suite A Geismar LA 70734-3000 Ph: (225) 673-0000 |
| NPI Number | 1215152392 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 09/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215152392 | NPI | - | NPPES |
| 1837083 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3708 (Louisiana) | Primary |
Ascension Premier Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13053 Highway 73 Ste A, Geismar, LA 70734 Phone: 225-673-6910 | |
Silver Lining Dutchtown Dental Center Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13353 Highway 73 Ste A, Geismar, LA 70734 Phone: 225-673-0000 | |
Smart Dental Care Dutchtown Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13375 Highway 73 Ste B, Geismar, LA 70734 Phone: 225-412-0204 |