| Leonard H Mcwilliams Dds Llc | |
|
501 Bon Ami St Deridder LA 70634-4925 | |
| (337) 462-1315 | |
| (337) 462-6411 |
| Full Name | Leonard H Mcwilliams Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 501 Bon Ami St, Deridder, Louisiana |
| Authorized Official Name and Position | Leonard H Mcwilliams (PRINCIPAL OFFICER) |
| Authorized Official Contact | 3374621315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonard H Mcwilliams Dds Llc 501 Bon Ami St Deridder LA 70634-4925 Ph: (337) 462-1315 | Leonard H Mcwilliams Dds Llc 501 Bon Ami St Deridder LA 70634-4925 Ph: (337) 462-1315 |
| NPI Number | 1598887572 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598887572 | NPI | - | NPPES |
| 1833622 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3362 (Louisiana) | Primary |
Robert B. Lestage, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Bon Ami St, Deridder, LA 70634 Phone: 337-463-3272 | |
Dental Plus, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1808 Highway 190 W, Suite D, Deridder, LA 70634 Phone: 337-463-6545 Fax: 337-460-1966 |