Organization
EXCEPTIONAL DENTAL OF HIGHLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA COATS (INSURANCE CREDENTIALING MANAGER)
(504) 609-2599
Entity
Organization
Contact information
Practice address
7278 HIGHLAND RD STE C, BATON ROUGE, LA 70808-6604
(225) 329-1140
Mailing address
7278 HIGHAND RD. STE. C, BATON ROUGE, LA 70808
(225) 329-1140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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