Organization
JEFF ELLARD DDS APDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF ELLARD ELLARD DDS (OWNER PRESIDENT)
(225) 924-2010
Entity
Organization
Contact information
Practice address
541 SHADOWS LN STE B, BATON ROUGE, LA 70806-6559
(225) 924-2010
(225) 926-5872
Mailing address
541 SHADOWS LN STE B, BATON ROUGE, LA 70806-6559
(225) 924-2010
(225) 926-5872
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376547364
—
LA
Enumeration date
07/13/2020
Last updated
07/13/2020
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