| Pearl Dental Group | |
|
6031 Jones Creek Rd. Baton Rouge LA 70817 | |
| (225) 256-1163 | |
| (225) 351-8859 |
| Full Name | Pearl Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6031 Jones Creek Rd., Baton Rouge, Louisiana |
| Authorized Official Name and Position | Andre H Bruni (OWNER) |
| Authorized Official Contact | 2252561163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Dental Group 11001 Highland Rd Baton Rouge LA 70810-4306 Ph: (225) 256-1163 | Pearl Dental Group 6031 Jones Creek Rd. Baton Rouge LA 70817 Ph: (225) 256-1163 |
| NPI Number | 1790390888 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790390888 | NPI | - | NPPES |
| 1053523233 | Other | LA | NPI |
| 1639381890 | Other | LA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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