Organization
LOUISIANA ORAL SURGERY CENTER - DOCTORS ROBERT LEO REGAN, MICHAEL CHAR
Active
Other names
LOUISIANA ORAL SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTI WYATT (INSURANCE MANAGER)
(225) 766-5413
Entity
Organization
Contact information
Practice address
14169 HIGHWAY 73 UNIT A, PRAIRIEVILLE, LA 70769-3614
(225) 766-5413
(225) 767-3275
Mailing address
5227 FLANDERS DR, BATON ROUGE, LA 70808-9169
(225) 766-5413
(225) 767-3275
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073931929
NELSON NPI
—
01
—
6444
STATE LICENSE
LA
Enumeration date
12/21/2022
Last updated
12/27/2022
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