Individual
DR. DANIEL C. MEGISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13360 COURSEY BLVD, SUITE C, BATON ROUGE, LA 70816-5024
(225) 756-1998
(225) 756-4337
Mailing address
10782 OAKLINE DR, BATON ROUGE, LA 70809-3317
(225) 293-9970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5045
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5045
DENTAL LISCENCE NUMBER
LA
Enumeration date
05/03/2006
Last updated
07/21/2008
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