| Nicole Suberville Wascom, DDS | |
|
22464 Highway 435, Abita Springs, LA 70420-2206 | |
| (985) 893-7835 | |
| (985) 893-3867 |
| Full Name | Nicole Suberville Wascom |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 22464 Highway 435, Abita Springs, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982807632 | NPI | - | NPPES |
| 1852881 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5288 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Suberville Wascom, DDS 22464 Highway 435, Abita Springs, LA 70420-2206 Ph: (985) 893-7835 | Nicole Suberville Wascom, DDS 22464 Highway 435, Abita Springs, LA 70420-2206 Ph: (985) 893-7835 |
Dr. Eduardo Menendez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 22464 Highway 435, Abita Springs, LA 70420 Phone: 985-893-7835 | |
Dr. Steven E Pfingsten, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 71623 Hickory Street, Abita Springs, LA 70420 Phone: 985-892-3250 Fax: 985-892-3153 | |
Dr. Philip J. Puneky, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 71359 Highway 59, Abita Springs, LA 70420 Phone: 504-392-8484 Fax: 985-809-7562 |