# TIMOTHY J DELCAMBRE DDS MHA LLC

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

## Provider details

- **NPI number:** 1669196168
- **Authorized official:** DR. TIMOTHY DELCAMBRE DDS (OWNER/DENTIST)
- **Authorized official phone:** (504) 895-6657

## Contact information

- **Practice address:** 3426 COLISEUM ST, NEW ORLEANS, LA 70115-2427
- **Practice address phone:** (504) 895-6657
- **Practice address fax:** (504) 899-0017
- **Mailing address:** 3426 COLISEUM ST, NEW ORLEANS, LA 70115-2427
- **Mailing address phone:** (504) 895-6657
- **Mailing address fax:** (504) 899-0017

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2022
- **Last updated:** 09/28/2022