| Outreach Dentistry | |
|
510 Guilbeau Rd Ste C Lafayette LA 70506-8415 | |
| (337) 993-0977 | |
| (337) 993-0978 |
| Full Name | Outreach Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 510 Guilbeau Rd Ste C, Lafayette, Louisiana |
| Authorized Official Name and Position | Gregory J Folse (PRESIDENT/OWNER) |
| Authorized Official Contact | 3379930977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach Dentistry 510 Guilbeau Rd Ste C Lafayette LA 70506-8415 Ph: (337) 993-0977 | Outreach Dentistry 510 Guilbeau Rd Ste C Lafayette LA 70506-8415 Ph: (337) 993-0977 |
| NPI Number | 1205006780 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 03/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205006780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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