| Taylor Houston Shank, Dds, A Professional Dental Corporation | |
|
313 E Main St Lafayette LA 70501-8061 | |
| (337) 235-8902 | |
| Not Available |
| Full Name | Taylor Houston Shank, Dds, A Professional Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 313 E Main St, Lafayette, Louisiana |
| Authorized Official Name and Position | Taylor Houston Shank (OWNER, GENERAL DENTIST) |
| Authorized Official Contact | 3372358902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Houston Shank, Dds, A Professional Dental Corporation 130 Beauchamp Ln Lafayette LA 70506-9261 Ph: (337) 852-2803 | Taylor Houston Shank, Dds, A Professional Dental Corporation 313 E Main St Lafayette LA 70501-8061 Ph: (337) 235-8902 |
| NPI Number | 1245861665 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 02/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245861665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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