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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

NPI Number 1932621943
LBN Legal business name ALEXANDRIA ENDODONTICS, LLC
Authorized official DANIEL LESTER - (DENTIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
LA License # 5649
LA License # 5790
LA Medicaid 32371
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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