| Greenwell Springs Family Dentistry | |
|
14127 Greenwell Springs Rd Ste A Greenwell Springs LA 70739-3305 | |
| (225) 261-0043 | |
| Not Available |
| Full Name | Greenwell Springs Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14127 Greenwell Springs Rd Ste A, Greenwell Springs, Louisiana |
| Authorized Official Name and Position | Alisha M Ross (OFFICE MANAGER) |
| Authorized Official Contact | 2252874048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenwell Springs Family Dentistry 14127 Greenwell Springs Rd Ste A Greenwell Springs LA 70739-3305 Ph: (225) 261-0043 | Greenwell Springs Family Dentistry 14127 Greenwell Springs Rd Ste A Greenwell Springs LA 70739-3305 Ph: (225) 261-0043 |
| NPI Number | 1730775685 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 12/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730775685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
John T Roshto Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16606 Greenwell Springs Rd, Greenwell Springs, LA 70739 Phone: 225-262-4150 | |
Raborn Dental Greenwell Springs Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14127 Greenwell Springs Rd, Greenwell Springs, LA 70739 Phone: 225-460-2165 |