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Contact Information

BAYOU SMILES CENTER
1205 VICTOR II BLVD
MORGAN CITY, LA70380
 Phone: 337-367-1721
 Fax: 337-365-5137
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BAYOU SMILES CENTER · (Female)

NPI # 1154667210
Status Active
Credentials
Entity Individual
Enumeration date 12/18/2012
Last updated 01/15/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 6019
  • LA Medicaid 1860191
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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