| Kasan Stevens-hansberry Dds Llc | |
|
11918 Sunray Ave Baton Rouge LA 70816-5316 | |
| (225) 291-2111 | |
| Not Available |
| Full Name | Kasan Stevens-hansberry Dds Llc |
|---|---|
| Speciality | Dentist |
| Location | 11918 Sunray Ave, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kasan Stevens (OWNER) |
| Authorized Official Contact | 2252912111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kasan Stevens-hansberry Dds Llc 11918 Sunray Ave Baton Rouge LA 70816-5316 Ph: (225) 291-2111 | Kasan Stevens-hansberry Dds Llc 11918 Sunray Ave Baton Rouge LA 70816-5316 Ph: (225) 291-2111 |
| NPI Number | 1174969273 |
|---|---|
| Provider Enumeration Date | 05/15/2013 |
| Last Update Date | 01/09/2023 |
| Medicare PECOS PAC ID | 3870909674 |
|---|---|
| Medicare Enrollment ID | O20210302002304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174969273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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