| Nola Dental Studio | |
|
3645 Williams Blvd Ste 103 Kenner LA 70065-3464 | |
| (504) 443-5882 | |
| Not Available |
| Full Name | Nola Dental Studio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3645 Williams Blvd Ste 103, Kenner, Louisiana |
| Authorized Official Name and Position | Logan N Johnson (DENTIST (OWNER)) |
| Authorized Official Contact | 5044435882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nola Dental Studio 314 Metairie Heights Ave Metairie LA 70001-3039 | Nola Dental Studio 3645 Williams Blvd Ste 103 Kenner LA 70065-3464 Ph: (504) 443-5882 |
| NPI Number | 1104701044 |
|---|---|
| Provider Enumeration Date | 08/08/2025 |
| Last Update Date | 08/08/2025 |
| Certification Date | 08/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104701044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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