Organization
SMART DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY EMMETT MOORE D.D.S. (OWNER/DOCTOR)
(225) 405-5066
Entity
Organization
Contact information
Practice address
34659 LA HIGHWAY 16, DENHAM SPRINGS, LA 70706-0667
(225) 405-5066
(225) 677-9993
Mailing address
6234 RIVERINE DR, BATON ROUGE, LA 70820-5058
(225) 405-5066
(225) 677-9993
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5491
LA
Other
Enumeration date
08/22/2016
Last updated
01/18/2017
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