Individual
FREDERICK PORTER BERINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
703 S RANGE AVE, DENHAM SPRINGS, LA 70726-4414
(225) 664-7175
Mailing address
703 S RANGE AVE, DENHAM SPRINGS, LA 70726-4414
(225) 664-7175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2627
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1826278
—
LA
Enumeration date
03/07/2007
Last updated
07/09/2007
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