La Dental Urgent Care Llc | |
4021 W. E. Heck Ct I-l Baton Rouge LA 70816 | |
(225) 926-0702 | |
(504) 218-4204 |
Full Name | La Dental Urgent Care Llc |
---|---|
Speciality | Dentist |
Location | 4021 W. E. Heck Ct, Baton Rouge, Louisiana |
Authorized Official Name and Position | Jaclyn Duboue (MANAGING MEMBER OF LLC/OWNER/PROVID) |
Authorized Official Contact | 2259260702 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
La Dental Urgent Care Llc 3121 Maryland Ave Kenner LA 70065 Ph: (504) 390-2847 | La Dental Urgent Care Llc 4021 W. E. Heck Ct I-l Baton Rouge LA 70816 Ph: (225) 926-0702 |
NPI Number | 1245494814 |
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Provider Enumeration Date | 07/14/2008 |
Last Update Date | 07/31/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245494814 | NPI | - | NPPES |
1880426 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5635 (Louisiana) | Primary |
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