| Jack P Newell Dds A Professioal Corporation | |
|
179 Belle Terre Blvd Suite C La Place LA 70068-3347 | |
| (985) 652-2425 | |
| (985) 651-7817 |
| Full Name | Jack P Newell Dds A Professioal Corporation |
|---|---|
| Speciality | Dentist |
| Location | 179 Belle Terre Blvd, La Place, Louisiana |
| Authorized Official Name and Position | Jack P Newell (OWNER) |
| Authorized Official Contact | 9856522425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack P Newell Dds A Professioal Corporation 179 Belle Terre Blvd Suite C La Place LA 70068-3347 Ph: (985) 652-2425 | Jack P Newell Dds A Professioal Corporation 179 Belle Terre Blvd Suite C La Place LA 70068-3347 Ph: (985) 652-2425 |
| NPI Number | 1043387160 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 02/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043387160 | NPI | - | NPPES |
| 1830127 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3012 (Louisiana) | Primary |
Hugo L Perez, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1421 W Airline Hwy, La Place, LA 70068 Phone: 985-212-3223 | |
Laplace Dental Association Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Belle Terre Blvd, La Place, LA 70068 Phone: 985-652-7272 Fax: 985-651-6008 |