Individual
KALLANTHOMAS LEE ELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
311 PALACE DR, HAMMOND, LA 70403-6072
(985) 791-0076
Mailing address
311 PALACE DR, HAMMOND, LA 70403-6072
(985) 791-0076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7767
LA
1223G0001X
General Practice Dentistry
Primary
S1229
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
04/13/2026
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