Individual
DR. RUSSELL P MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
910 W THOMAS ST, HAMMOND, LA 70401-3038
(985) 345-2285
Mailing address
187 PINE CREST DR, HAMMOND, LA 70401-8227
(985) 345-2285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3435
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1834351
—
LA
Enumeration date
02/23/2006
Last updated
07/08/2007
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