| Edwin L Bercier Iv Dds | |
|
300 N Polk St Rayne LA 70578-6551 | |
| (337) 334-3581 | |
| (337) 334-2812 |
| Full Name | Edwin L Bercier Iv Dds |
|---|---|
| Speciality | Dentist |
| Location | 300 N Polk St, Rayne, Louisiana |
| Authorized Official Name and Position | Edwin L Bercier (OWNER) |
| Authorized Official Contact | 3373343581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin L Bercier Iv Dds Po Box 804 Rayne LA 70578-0804 Ph: (337) 334-3581 | Edwin L Bercier Iv Dds 300 N Polk St Rayne LA 70578-6551 Ph: (337) 334-3581 |
| NPI Number | 1689968695 |
|---|---|
| Provider Enumeration Date | 06/07/2011 |
| Last Update Date | 06/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689968695 | NPI | - | NPPES |
| 1855481 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5548 (Louisiana) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
Patrick D. Briese, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1143 Church Point Hwy, Rayne, LA 70578 Phone: 337-334-3724 Fax: 337-334-3777 | |
Bercier Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 E Texas Ave, Rayne, LA 70578 Phone: 337-334-3581 Fax: 337-334-2812 |