| Mitchell M Sonnier Dds Llc | |
|
109 Cary Ave Jennings LA 70546-5843 | |
| (337) 824-9090 | |
| (337) 824-9068 |
| Full Name | Mitchell M Sonnier Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 109 Cary Ave, Jennings, Louisiana |
| Authorized Official Name and Position | Mitchell M Sonnier (PRESIDENT OWNER) |
| Authorized Official Contact | 3378249090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell M Sonnier Dds Llc 109 Cary Ave Jennings LA 70546-5843 Ph: (337) 824-9090 | Mitchell M Sonnier Dds Llc 109 Cary Ave Jennings LA 70546-5843 Ph: (337) 824-9090 |
| NPI Number | 1831312255 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831312255 | NPI | - | NPPES |
| 1852091 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5209 (Louisiana) | Primary |
Dustin Joubert Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 N Main St, Jennings, LA 70546 Phone: 337-824-2422 Fax: 337-824-0047 | |
Nathan Ray Fontenot, Jr., Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 715 N Main St, Jennings, LA 70546 Phone: 337-824-4963 Fax: 337-824-4961 |