| Renaissance Dental Implant Center, Llc | |
|
3131 Veterans Blvd. Metairie LA 70002 | |
| (504) 609-2599 | |
| (504) 386-4956 |
| Full Name | Renaissance Dental Implant Center, Llc |
|---|---|
| Speciality | Dentist |
| Location | 3131 Veterans Blvd., Metairie, Louisiana |
| Authorized Official Name and Position | Samantha Coats (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5046092599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Dental Implant Center, Llc 3131 Veterans Blvd. Metairie LA 70002 Ph: (504) 609-2599 | Renaissance Dental Implant Center, Llc 3131 Veterans Blvd. Metairie LA 70002 Ph: (504) 609-2599 |
| NPI Number | 1639976491 |
|---|---|
| Provider Enumeration Date | 02/28/2025 |
| Last Update Date | 03/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639976491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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