| Mobile Dental Program | |
|
1300 Perdido St Room 8w03b New Orleans LA 70112-2125 | |
| (504) 658-2584 | |
| Not Available |
| Full Name | Mobile Dental Program |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1300 Perdido St, New Orleans, Louisiana |
| Authorized Official Name and Position | Germaine Tillage Thompson (ACCOUNTANT/FISCAL MANAGER) |
| Authorized Official Contact | 5046582501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Dental Program 1300 Perdido St Room 8w03b New Orleans LA 70112-2125 Ph: (504) 658-2584 | Mobile Dental Program 1300 Perdido St Room 8w03b New Orleans LA 70112-2125 Ph: (504) 658-2584 |
| NPI Number | 1578736690 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578736690 | NPI | - | NPPES |
| 1880051 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Christopher E Brown, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2968 General Collins Ave, New Orleans, LA 70114 Phone: 504-366-4700 Fax: 504-366-4701 | |
Augillard Dental Group, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3711 Frenchmen St, New Orleans, LA 70122 Phone: 504-947-7700 Fax: 504-947-7702 | |
Todd J. Canatella, Jr. Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Robert E Lee Blvd Ste 305, New Orleans, LA 70124 Phone: 504-282-0700 | |
Sherrod L. Quin D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Florida Ave, Box 137, New Orleans, LA 70119 Phone: 504-941-8471 Fax: 504-941-8389 | |
Dr. Mark D. Anderson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3625 Canal St, New Orleans, LA 70119 Phone: 504-485-6575 | |
Smiling Faces Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4747 Earhart Blvd Ste C, New Orleans, LA 70125 Phone: 504-392-9874 | |
K. Richard Dubois, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5760 Hayne Blvd, New Orleans, LA 70126 Phone: 504-241-8457 Fax: 504-241-8450 |