Organization
JEANSONNESPILLERSDDSLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L JEANSONNE DDS (OWNER)
(225) 888-7030
Entity
Organization
Contact information
Practice address
11920 PERKINS RD, BATON ROUGE, LA 70810-0800
(225) 767-3130
Mailing address
1116 S PURPERA AVE, GONZALES, LA 70737-4361
(225) 647-3577
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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