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Contact Information

ALEXANDRIA ENDODONTICS, LLC
1431 PETERMAN DR
ALEXANDRIA, LA71301-3433
 Phone: 318-443-5013
 Fax: 318-443-5014
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ALEXANDRIA ENDODONTICS LLC · (Female)

NPI Number 1932621943
Status Active
Credentials
Entity Individual
Enumeration date 07/11/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 5649
  • LA License # 5790
  • LA Medicaid 32371
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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