Individual
DR. TIMOTHY MICHAEL POYADOU JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., D.D.S.
Contact information
Practice address
100 TYLER SQ STE 4, COVINGTON, LA 70433-3060
(985) 266-2000
(985) 266-2002
Mailing address
100 TYLER SQ STE 4, COVINGTON, LA 70433-3060
(985) 266-2000
(985) 266-2002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN19309
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6377
LA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN19309
FL
Other
Enumeration date
04/05/2013
Last updated
12/05/2022
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