Organization
JOHN A. HENDRY,DDS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. HENDRY DDS (OWNER)
(337) 234-2349
Entity
Organization
Contact information
Practice address
185 S BEADLE RD, LAFAYETTE, LA 70508-4287
(337) 234-2349
Mailing address
185 S BEADLE RD, LAFAYETTE, LA 70508-4287
(337) 234-2349
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3098
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1830984
—
LA
05
—
1865851
—
LA
Enumeration date
06/10/2015
Last updated
01/21/2016
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