# HOUMA SMILE CENTER

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

## Provider details

- **NPI number:** 1548612930
- **Authorized official:** MICHELLE VANBENSCHOTEN (MANAGER)
- **Authorized official phone:** (870) 834-3000

## Contact information

- **Practice address:** 720 VERRET ST, HOUMA, LA 70360-4634
- **Practice address phone:** (504) 388-1023
- **Mailing address:** 3330 KINGMAN ST, SUITE III, METAIRIE, LA 70006-4235
- **Mailing address phone:** (800) 864-1582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5591 | LA | Yes |

## Other

- **Enumeration date:** 07/08/2016
- **Last updated:** 07/08/2016