Organization
A PROFESSIONAL DENTAL ORGANIZATION
Active
Parent organization
A PROFESSIONAL DENTAL ORGANIZATION
Other names
Crossgates Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
A PROFESSIONAL DENTAL ORGANIZATION
Authorized official
ERIKA MELISSA MENJIVAR (SR. CREDENTIALING SPECIALIST)
(469) 596-6137
Entity
Organization
Contact information
Practice address
2300 GAUSE BLVD E, SLIDELL, LA 70461-4141
(985) 641-7200
Mailing address
5830 GRANITE PKWY STE 780, PLANO, TX 75024-6775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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