| Creative Dental Studio | |
|
15615 Airline Hwy Prairieville LA 70769-4675 | |
| (225) 677-9300 | |
| Not Available |
| Full Name | Creative Dental Studio |
|---|---|
| Speciality | Dentist |
| Location | 15615 Airline Hwy, Prairieville, Louisiana |
| Authorized Official Name and Position | John Landreneau (OWNER/DENTIST) |
| Authorized Official Contact | 2256779300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Dental Studio 15615 Airline Hwy Prairieville LA 70769-4675 Ph: () - | Creative Dental Studio 15615 Airline Hwy Prairieville LA 70769-4675 Ph: (225) 677-9300 |
| NPI Number | 1225712284 |
|---|---|
| Provider Enumeration Date | 06/12/2023 |
| Last Update Date | 07/21/2023 |
| Medicare PECOS PAC ID | 7719332212 |
|---|---|
| Medicare Enrollment ID | O20231018000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225712284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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