Organization
HEAL CORPORATION
Active
Other names
West Louisiana Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH HENNESSEE DDS (OWNER/DR.)
(337) 239-2509
Entity
Organization
Contact information
Practice address
103 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 239-5209
(337) 239-9764
Mailing address
103 BELVIEW RD, LEESVILLE, LA 71446-2902
(337) 239-5209
(337) 239-9764
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2983
LA
1223G0001X
General Practice Dentistry
5024
LA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
2367
LA
1223P0221X
Pediatric Dentistry
Primary
5330
LA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5060
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1880272
—
LA
01
—
3147896
BC/BS OF TN
LA
01
—
808180
UNITED CONCORDIA
LA
01
—
H6076
BC/BS OF LA
LA
Enumeration date
10/20/2006
Last updated
09/11/2025
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