Organization
MOBILE DENTAL PROGRAM
Active
Parent organization
CITY OF NEW ORLEANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF NEW ORLEANS
Authorized official
GERMAINE TILLAGE THOMPSON (ACCOUNTANT/FISCAL MANAGER)
(504) 658-2501
Entity
Organization
Contact information
Practice address
1300 PERDIDO ST, ROOM 8W03B, NEW ORLEANS, LA 70112-2125
(504) 658-2584
Mailing address
1300 PERDIDO ST, ROOM 8W03B, NEW ORLEANS, LA 70112-2125
(504) 658-2584
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1880051
—
LA
Enumeration date
04/09/2008
Last updated
04/09/2008
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