| Prentiss A. Perkins, D.d.s. | |
|
908 6th St Mamou LA 70554-3122 | |
| (337) 468-2787 | |
| (337) 468-2797 |
| Full Name | Prentiss A. Perkins, D.d.s. |
|---|---|
| Speciality | Dentist |
| Location | 908 6th St, Mamou, Louisiana |
| Authorized Official Name and Position | Betsy St. Ann (SECRETARY) |
| Authorized Official Contact | 3374682787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prentiss A. Perkins, D.d.s. 908 6th St Mamou LA 70554-3122 Ph: (337) 468-2787 | Prentiss A. Perkins, D.d.s. 908 6th St Mamou LA 70554-3122 Ph: (337) 468-2787 |
| NPI Number | 1871944876 |
|---|---|
| Provider Enumeration Date | 06/30/2016 |
| Last Update Date | 06/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871944876 | NPI | - | NPPES |
| 6659 | Medicaid | LA | |
| 31337 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3999 (Louisiana) | Primary |
Buller Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 908 6th St, Mamou, LA 70554 Phone: 337-468-2787 |