| St. Bernard Dental Group | |
|
2600 Belle Chasse Hwy Ste 200 Terrytown LA 70056-7156 | |
| (504) 392-9874 | |
| (504) 392-9990 |
| Full Name | St. Bernard Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2600 Belle Chasse Hwy Ste 200, Terrytown, Louisiana |
| Authorized Official Name and Position | Tracy Manuel Crear (OWNER) |
| Authorized Official Contact | 5043929874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Bernard Dental Group 2600 Belle Chasse Hwy Ste 200 Terrytown LA 70056-7156 Ph: (504) 392-9874 | St. Bernard Dental Group 2600 Belle Chasse Hwy Ste 200 Terrytown LA 70056-7156 Ph: (504) 392-9874 |
| NPI Number | 1952436404 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952436404 | NPI | - | NPPES |
| 1880311 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Parkway Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 441 Terry Pkwy Ste B, Terrytown, LA 70056 Phone: 504-319-5256 |