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Contact Information

RENE C DESSELLE, DDS
1837 LEGLISE ST
MANSURA, LA71350
 Phone: 318-964-2300
 Fax: 318-964-2302
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for RENE C DESSELLE · (Male)

NPI # 1285693788
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/22/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 4064
  • LA Medicaid 1840645
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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