| Freeman Smiles | |
|
1510 W Causeway Approach Ste B Mandeville LA 70471-3022 | |
| (985) 231-7600 | |
| Not Available |
| Full Name | Freeman Smiles |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1510 W Causeway Approach Ste B, Mandeville, Louisiana |
| Authorized Official Name and Position | Timothy Michael Poyadou (OWNER) |
| Authorized Official Contact | 9852662000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Freeman Smiles 100 Tyler Sq Ste 4 Covington LA 70433-3060 Ph: (985) 266-2000 | Freeman Smiles 1510 W Causeway Approach Ste B Mandeville LA 70471-3022 Ph: (985) 231-7600 |
| NPI Number | 1013770189 |
|---|---|
| Provider Enumeration Date | 02/01/2024 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013770189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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