| Lee Daniel Casey,d.m.d., L.l.c. | |
|
2137 Quail Run Baton Rouge LA 70808-4289 | |
| (225) 270-9594 | |
| Not Available |
| Full Name | Lee Daniel Casey,d.m.d., L.l.c. |
|---|---|
| Speciality | Dentist |
| Location | 2137 Quail Run, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Sarah Ashley Casey (OFFICE MANAGER) |
| Authorized Official Contact | 6015512003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Daniel Casey,d.m.d., L.l.c. Po Box 695 Liberty MS 39645-0695 Ph: () - | Lee Daniel Casey,d.m.d., L.l.c. 2137 Quail Run Baton Rouge LA 70808-4289 Ph: (225) 270-9594 |
| NPI Number | 1124531140 |
|---|---|
| Provider Enumeration Date | 11/13/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124531140 | NPI | - | NPPES |
| 05439877 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6737 (Louisiana) | Primary |
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