| John A. Hendry,dds,llc | |
|
185 S Beadle Rd Lafayette LA 70508-4287 | |
| (337) 234-2349 | |
| Not Available |
| Full Name | John A. Hendry,dds,llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 185 S Beadle Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | John A. Hendry (OWNER) |
| Authorized Official Contact | 3372342349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John A. Hendry,dds,llc 185 S Beadle Rd Lafayette LA 70508-4287 Ph: (337) 234-2349 | John A. Hendry,dds,llc 185 S Beadle Rd Lafayette LA 70508-4287 Ph: (337) 234-2349 |
| NPI Number | 1497136923 |
|---|---|
| Provider Enumeration Date | 06/10/2015 |
| Last Update Date | 01/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497136923 | NPI | - | NPPES |
| 1830984 | Medicaid | LA | |
| 1865851 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3098 (Louisiana) | Primary |
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