| Stephanie Barlow Dds Llc | |
|
102 Fontainbleau Dr Ste F2 Mandeville LA 70471-6519 | |
| (985) 317-0656 | |
| Not Available |
| Full Name | Stephanie Barlow Dds Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 102 Fontainbleau Dr Ste F2, Mandeville, Louisiana |
| Authorized Official Name and Position | Stephanie F. Barlow (OWNER) |
| Authorized Official Contact | 8646415511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Barlow Dds Llc 102 Fontainbleau Dr Ste F2 Mandeville LA 70471-6519 Ph: (985) 317-0656 | Stephanie Barlow Dds Llc 102 Fontainbleau Dr Ste F2 Mandeville LA 70471-6519 Ph: (985) 317-0656 |
| NPI Number | 1720852973 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720852973 | NPI | - | NPPES |
| 1063865285 | Medicaid | LA | |
| 1255627303 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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