Organization
BATON ROUGE DENTAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE A VIGNES DDS (DENTIST)
(225) 926-2195
Entity
Organization
Contact information
Practice address
679 E AIRPORT AVE, BATON ROUGE, LA 70806-6517
(225) 926-2195
(225) 926-2192
Mailing address
679 E AIRPORT AVE, BATON ROUGE, LA 70806-6517
(225) 926-2195
(225) 926-2192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4666
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1846660
—
LA
05
—
1880736
—
LA
01
—
3147391
BLUE CROSS OF TN
TN
01
—
705207
UNITED CONCORDIA
—
01
—
F1538
BLUE CROSS OF LA
LA
Enumeration date
08/02/2005
Last updated
08/22/2020
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