| Pediatric Dental Specialists Of Lafayette | |
|
854 Kaliste Saloom Rd Ste B Lafayette LA 70508-4367 | |
| (337) 722-1510 | |
| Not Available |
| Full Name | Pediatric Dental Specialists Of Lafayette |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 854 Kaliste Saloom Rd Ste B, Lafayette, Louisiana |
| Authorized Official Name and Position | Seth Anthony Dejean (OWNER) |
| Authorized Official Contact | 3377221510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Specialists Of Lafayette 110 Crescent Ridge Pl Lafayette LA 70503-4116 Ph: (225) 505-7074 | Pediatric Dental Specialists Of Lafayette 854 Kaliste Saloom Rd Ste B Lafayette LA 70508-4367 Ph: (337) 722-1510 |
| NPI Number | 1356147268 |
|---|---|
| Provider Enumeration Date | 02/21/2025 |
| Last Update Date | 02/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356147268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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