Organization
STEVEN D COLLINS, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EILEEN S COLLINS (OFFICE MANAGER)
(225) 292-4321
Entity
Organization
Contact information
Practice address
11700 HAYMARKET AVE, BATON ROUGE, LA 70816-6009
(225) 292-4321
(225) 292-0584
Mailing address
11700 HAYMARKET AVE, BATON ROUGE, LA 70816-6009
(225) 292-4321
(225) 292-0584
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LA2911
LA
1223G0001X
General Practice Dentistry
LA5396
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
844912
UNITED CONCORDIA
LA
01
—
F1249
BLUE CROSS BLUE SHIELD
LA
Enumeration date
10/21/2009
Last updated
10/21/2009
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