| Nova Dental Group, Llc | |
|
1602 W Pinhook Rd Suite 303 Lafayette LA 70508-3735 | |
| (337) 235-3761 | |
| (337) 234-9327 |
| Full Name | Nova Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1602 W Pinhook Rd, Lafayette, Louisiana |
| Authorized Official Name and Position | Eric Nathaniel Vondenstein (DENTIST) |
| Authorized Official Contact | 3372353761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Dental Group, Llc 1602 W Pinhook Rd Suite 303 Lafayette LA 70508-3735 Ph: (337) 235-3761 | Nova Dental Group, Llc 1602 W Pinhook Rd Suite 303 Lafayette LA 70508-3735 Ph: (337) 235-3761 |
| NPI Number | 1700137510 |
|---|---|
| Provider Enumeration Date | 09/20/2012 |
| Last Update Date | 09/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700137510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5943 (Louisiana) | Primary |
Puissegur Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Rue Louis Xiv, Lafayette, LA 70508 Phone: 337-984-9400 Fax: 337-984-9401 | |
Dale M Trahan Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Genevieve Dr, Lafayette, LA 70503 Phone: 337-981-6882 Fax: 337-991-0542 | |
Jimmy A Babineaux Jr Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1534 W Pinhook Rd, Lafayette, LA 70503 Phone: 337-234-3214 | |
Complete Family Dentistry Dental Clinic Medicare: Medicare Enrolled Practice Location: 3231 Kaliste Saloom Rd, Lafayette, LA 70508 Phone: 337-981-9848 Fax: 337-981-9845 | |
Lige F Dunaway, Iii, Ltd A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Representative Row, Lafayette, LA 70508 Phone: 337-264-1890 Fax: 337-264-1903 | |
Imagdent Acadiana, L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-232-5332 Fax: 337-232-5655 | |
Kool Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 Ne Evangeline Thruway, Lafayette, LA 70501 Phone: 800-920-9947 |