| Michael B Smith DDS LLC | |
|
250 Ochsner Blvd Ste 100 Gretna LA 70056-5257 | |
| (504) 392-6057 | |
| (504) 391-2429 |
| Full Name | Michael B Smith DDS LLC |
|---|---|
| Speciality | Dentist |
| Location | 250 Ochsner Blvd Ste 100, Gretna, Louisiana |
| Authorized Official Name and Position | Shanna R Panepinto (OFFICE MANAGER) |
| Authorized Official Contact | 5043926057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael B Smith DDS LLC 250 Ochsner Blvd Ste 100 Gretna LA 70056-5257 Ph: (504) 392-6057 | Michael B Smith DDS LLC 250 Ochsner Blvd Ste 100 Gretna LA 70056-5257 Ph: (504) 392-6057 |
| NPI Number | 1336719137 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 06/25/2021 |
| Certification Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336719137 | NPI | - | NPPES |
| 1700015054 | Other | LA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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