Individual
DR. JOHN CREIGHTER DAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
858 KALISTE SALOOM RD, A, LAFAYETTE, LA 70508
(337) 291-9141
(337) 291-9493
Mailing address
858 KALISTE SALOOM RD, A, LAFAYETTE, LA 70508
(337) 291-9141
(337) 291-9493
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3269
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1832693
—
LA
Enumeration date
11/29/2006
Last updated
03/07/2023
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