Organization
MANDEVILLE DENTAL ASSOCIATES LLC
Active
Other names
Freeman Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MICHAEL POYADOU JR. DDS (OWNER)
(985) 266-2000
Entity
Organization
Contact information
Practice address
1510 W CAUSEWAY APPROACH STE B, MANDEVILLE, LA 70471-3022
(985) 231-7600
Mailing address
100 TYLER SQ STE 4, COVINGTON, LA 70433-3060
(985) 266-2000
(985) 266-2002
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/05/2024
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