Organization
ACADIA HEALTH, LLC
Active
Other names
Just Kids Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAY STANLEY OPLINGER (VP OF OPERATIONS)
(912) 223-7228
Entity
Organization
Contact information
Practice address
2526 WILLIAMS BLVD, KENNER, LA 70062
(912) 223-7228
Mailing address
2526 WILLIAMS BLVD, KENNER, LA 70062
(912) 223-7228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1880175
—
LA
05
—
2109162
—
LA
Enumeration date
10/15/2010
Last updated
10/15/2010
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