Organization
EXCEPTIONAL DENTAL OF COURSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA COATS (INSURANCE CREDENTIALING LIAISON)
(504) 609-2599
Entity
Organization
Contact information
Practice address
12045 COURSEY BVLD., BATON ROUGE, LA 70816
(225) 292-8783
(225) 292-8030
Mailing address
12045 COURSEY BLVD, BATON ROUGE, LA 70816-4478
(225) 292-8783
(225) 292-8030
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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