# ALBANY DENTAL CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALBANY DENTAL CLINIC
- **Other names:** Albany Dental Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356588354
- **Legal business name:** ALBANY DENTAL CLINIC
- **Authorized official:** ROSE E HITCHEN (INSURANCE CLERK)
- **Authorized official phone:** (225) 209-0850

## Contact information

- **Practice address:** 490 SITMAN STREET, GREENSBURG, LA 70441
- **Practice address phone:** (225) 222-6059
- **Practice address fax:** (225) 222-6543
- **Mailing address:** 29565 MONTEPELIER STREET, ALBANY DENTAL CLINIC, ALBANY, LA 70711
- **Mailing address phone:** (225) 209-0850
- **Mailing address fax:** (225) 209-0849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2009
- **Last updated:** 01/13/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1032107 | — | LA |
| 05 | — | 1061115 | — | LA |
| 05 | — | 1303500 | — | LA |
| 05 | — | 1394050 | — | LA |
| 05 | — | 1527866 | — | LA |
| 05 | — | 1827380 | — | LA |