| Fallin And Fallin Family Dentistry Coursey, Llc | |
|
13707 Coursey Blvd #a Baton Rouge LA 70817-1306 | |
| (225) 752-5241 | |
| (225) 752-8691 |
| Full Name | Fallin And Fallin Family Dentistry Coursey, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13707 Coursey Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Lance E Fallin (PRESIDENT) |
| Authorized Official Contact | 2256542212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fallin And Fallin Family Dentistry Coursey, Llc 13707 Coursey Blvd #a Baton Rouge LA 70817-1306 Ph: (225) 752-5241 | Fallin And Fallin Family Dentistry Coursey, Llc 13707 Coursey Blvd #a Baton Rouge LA 70817-1306 Ph: (225) 752-5241 |
| NPI Number | 1699910869 |
|---|---|
| Provider Enumeration Date | 12/02/2008 |
| Last Update Date | 12/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699910869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4954 (Louisiana) | Primary |
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