Organization
J.E.HARGROVE, PLC
Active
Other names
Dr. J.E. Hargrove DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ERYK HARGROVE DDS (OWNER)
(225) 270-3391
Entity
Organization
Contact information
Practice address
158 MCGEHEE DR, BATON ROUGE, LA 70815-5012
(225) 270-3391
Mailing address
158 MCGEHEE DR, BATON ROUGE, LA 70815-5012
(225) 275-0123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5884
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205087061
INDIVIDUAL NPI NUMBER
LA
Enumeration date
12/14/2008
Last updated
12/26/2008
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