| Kellene M. Cole Dds A.p.d.c. | |
|
9541 Jefferson Hwy River Ridge LA 70123 | |
| (504) 738-1567 | |
| (504) 738-1571 |
| Full Name | Kellene M. Cole Dds A.p.d.c. |
|---|---|
| Speciality | Dentist |
| Location | 9541 Jefferson Hwy, River Ridge, Louisiana |
| Authorized Official Name and Position | Richelle K. Punch (OFFICE MANAGER) |
| Authorized Official Contact | 5047381567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kellene M. Cole Dds A.p.d.c. 9541 Jefferson Hwy River Ridge LA 70123 Ph: (504) 738-1567 | Kellene M. Cole Dds A.p.d.c. 9541 Jefferson Hwy River Ridge LA 70123 Ph: (504) 738-1567 |
| NPI Number | 1710015474 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710015474 | NPI | - | NPPES |
| 26343 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Plaisance And Bostick Dental Partnership Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10154 Jefferson Hwy, River Ridge, LA 70123 Phone: 504-738-5171 | |
Dejong And Plaisance Dentistry Partnership Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10154 Jefferson Hwy, River Ridge, LA 70123 Phone: 504-738-5171 Fax: 504-738-7923 |