# JEANSONNESPILLERSDDSLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306317516
- **Authorized official:** DR. JAMES L JEANSONNE DDS (OWNER)
- **Authorized official phone:** (225) 888-7030

## Contact information

- **Practice address:** 11920 PERKINS RD, BATON ROUGE, LA 70810-0800
- **Practice address phone:** (225) 767-3130
- **Mailing address:** 1116 S PURPERA AVE, GONZALES, LA 70737-4361
- **Mailing address phone:** (225) 647-3577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2018
- **Last updated:** 12/16/2018