| Susanne O. Core Dmd Pdc Family Dentistry | |
|
73193 Hwy 25 Covington LA 70435 | |
| (985) 630-6906 | |
| (985) 796-5315 |
| Full Name | Susanne O. Core Dmd Pdc Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 73193 Hwy 25, Covington, Louisiana |
| Authorized Official Name and Position | Susanne O. Core (OWNER) |
| Authorized Official Contact | 9856306906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susanne O. Core Dmd Pdc Family Dentistry 73193 Hwy 25 Covington LA 70435 Ph: (985) 630-6906 | Susanne O. Core Dmd Pdc Family Dentistry 73193 Hwy 25 Covington LA 70435 Ph: (985) 630-6906 |
| NPI Number | 1366725582 |
|---|---|
| Provider Enumeration Date | 09/23/2011 |
| Last Update Date | 06/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366725582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2392 (Mississippi) | Primary |
| 122300000X | Dentist | 3600 (Mississippi) | Secondary |
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