Organization
ALBANY DENTAL CLINIC
Active
Parent organization
ALBANY DENTAL CLINIC
Other names
Albany Dental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALBANY DENTAL CLINIC
Authorized official
ROSE E HITCHEN (INSURANCE CLERK)
(225) 209-0850
Entity
Organization
Contact information
Practice address
490 SITMAN STREET, GREENSBURG, LA 70441
(225) 222-6059
(225) 222-6543
Mailing address
29565 MONTEPELIER STREET, ALBANY DENTAL CLINIC, ALBANY, LA 70711
(225) 209-0850
(225) 209-0849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032107
—
LA
05
—
1061115
—
LA
05
—
1303500
—
LA
05
—
1394050
—
LA
05
—
1527866
—
LA
05
—
1827380
—
LA
Enumeration date
01/13/2009
Last updated
01/13/2009
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