# JILL ZERANGUE SIMON, DDS (A PROFESSIONAL LLC)

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

## Provider details

- **NPI number:** 1831398304
- **Authorized official:** DR. JILL ZERANGUE SIMON DDS (MANAGER)
- **Authorized official phone:** (337) 857-5837

## Contact information

- **Practice address:** 117 SCHOOL ST, YOUNGSVILLE, LA 70592-5475
- **Practice address phone:** (337) 857-5837
- **Mailing address:** PO BOX 1255, 117 SCHOOL ST., YOUNGSVILLE, LA 70592-1255
- **Mailing address phone:** (337) 857-5837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 5596 | LA | Yes |

## Other

- **Enumeration date:** 07/15/2007
- **Last updated:** 03/15/2012
