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Organization
TROY L PATTERSON A PROFESSIONAL DENTAL CORPORATION
Active
Organization
TROY L PATTERSON A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY L PATTERSON D.D.S. (PRESIDENT/OWNER/DENTIST)
(504) 834-6410
Entity
Organization
Contact information
Practice address
1001 N CAUSEWAY BLVD, METAIRIE, LA 70001-4125
(504) 834-6410
(504) 834-5956
Mailing address
1001 N CAUSEWAY BLVD, METAIRIE, LA 70001-4125
(504) 834-6410
(504) 834-5956
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3450
LA
1223G0001X
General Practice Dentistry
Primary
5802
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1329487
—
LA
01
—
1770601346
NATIONAL PROVIDER ID
LA
Enumeration date
01/14/2009
Last updated
01/14/2009
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