| Grand Family Dentistry Abita Springs Llc | |
|
22464 La Hwy 435 Abita Springs LA 70420-2206 | |
| (985) 893-7835 | |
| (985) 778-0301 |
| Full Name | Grand Family Dentistry Abita Springs Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22464 La Hwy 435, Abita Springs, Louisiana |
| Authorized Official Name and Position | Mary Cotton (ACCOUNTANT) |
| Authorized Official Contact | 9857780096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Family Dentistry Abita Springs Llc 700 Asbury Dr Mandeville LA 70471-1844 Ph: (985) 778-0096 | Grand Family Dentistry Abita Springs Llc 22464 La Hwy 435 Abita Springs LA 70420-2206 Ph: (985) 893-7835 |
| NPI Number | 1114736774 |
|---|---|
| Provider Enumeration Date | 01/07/2025 |
| Last Update Date | 01/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114736774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Louis P. Nogues, Iii, Dds, A Professional Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22464 Highway 435, Abita Springs, LA 70420 Phone: 985-892-8712 Fax: 985-893-3867 | |
Abita Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 71623 Hickory St, Abita Springs, LA 70420 Phone: 985-892-3250 Fax: 985-892-3153 |