| Gardner Wade D.d.s. Llc | |
|
9828 Bluebonnet Blvd Suite D Baton Rouge LA 70810-6461 | |
| (225) 752-3407 | |
| Not Available |
| Full Name | Gardner Wade D.d.s. Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9828 Bluebonnet Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Alex Gardner Wade (DENTIST) |
| Authorized Official Contact | 9176575233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gardner Wade D.d.s. Llc 560 W 43rd St Apt. 35c New York NY 10036-4300 Ph: (917) 657-5233 | Gardner Wade D.d.s. Llc 9828 Bluebonnet Blvd Suite D Baton Rouge LA 70810-6461 Ph: (225) 752-3407 |
| NPI Number | 1144364639 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144364639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5527 (Louisiana) | Primary |
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