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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

NPI # 1154667210
LBN Legal business name BAYOU SMILES CENTER
Authorized official JOSEPH BRAUD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2012
Last updated 01/15/2013 - About 13 years ago
Identifiers
LA License # 6019
LA Medicaid 1860191
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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