| Exceptional Dental | |
|
27136 Highway 23 Suite 314 Port Sulphur LA 70083-2648 | |
| (504) 433-2092 | |
| Not Available |
| Full Name | Exceptional Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 27136 Highway 23, Port Sulphur, Louisiana |
| Authorized Official Name and Position | Mike Cook (OFFICE MANAGER) |
| Authorized Official Contact | 5044332092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exceptional Dental 27136 Highway 23 Suite 314 Port Sulphur LA 70083-2648 Ph: (504) 433-2092 | Exceptional Dental 27136 Highway 23 Suite 314 Port Sulphur LA 70083-2648 Ph: (504) 433-2092 |
| NPI Number | 1710361118 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 07/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710361118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Louisiana) | Primary |