Individual
DR. JENNIFER NEWTON BOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4279 HIGHWAY 15, MANGHAM, LA 71259-5189
(318) 248-4986
(318) 248-3379
Mailing address
4279 HWY 15, MANGHAM, LA 71259
(318) 248-4986
(318) 248-3379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5050
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1850501
—
LA
01
—
5050
STATE LICENSE #
LA
Enumeration date
08/30/2006
Last updated
03/13/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us