| Northshore Orthodontics, Llc | |
|
4010 Lonesome Rd Mandeville LA 70448-7085 | |
| (985) 626-0160 | |
| (985) 727-4459 |
| Full Name | Northshore Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4010 Lonesome Rd, Mandeville, Louisiana |
| Authorized Official Name and Position | Rebecca Payne (OWNER) |
| Authorized Official Contact | 9856260160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Orthodontics, Llc 4010 Lonesome Rd Mandeville LA 70448-7085 Ph: (985) 626-0160 | Northshore Orthodontics, Llc 4010 Lonesome Rd Mandeville LA 70448-7085 Ph: (985) 626-0160 |
| NPI Number | 1659893550 |
|---|---|
| Provider Enumeration Date | 07/12/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659893550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 6567 (Louisiana) | Primary |
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