| Lake Area Dentistry Kinder | |
|
203 1st Ave Kinder LA 70648-3538 | |
| (337) 738-2598 | |
| (337) 738-3102 |
| Full Name | Lake Area Dentistry Kinder |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 203 1st Ave, Kinder, Louisiana |
| Authorized Official Name and Position | Jeffery Hennigan (OWNER) |
| Authorized Official Contact | 3374788470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Area Dentistry Kinder 203 1st Ave Kinder LA 70648-3538 Ph: (337) 738-2598 | Lake Area Dentistry Kinder 203 1st Ave Kinder LA 70648-3538 Ph: (337) 738-2598 |
| NPI Number | 1295405116 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295405116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |