| Baton Rouge Family Dentistry | |
|
12117 Coursey Blvd Baton Rouge LA 70816-4410 | |
| (225) 456-2222 | |
| Not Available |
| Full Name | Baton Rouge Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12117 Coursey Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Jamie Harold Carmouche (DENTIST/OWNER) |
| Authorized Official Contact | 2254452690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baton Rouge Family Dentistry 21 Turnberry Dr La Place LA 70068-1617 Ph: (225) 445-2690 | Baton Rouge Family Dentistry 12117 Coursey Blvd Baton Rouge LA 70816-4410 Ph: (225) 456-2222 |
| NPI Number | 1417428798 |
|---|---|
| Provider Enumeration Date | 12/11/2018 |
| Last Update Date | 12/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417428798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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