Organization
JOSEPH B. MARINO, JR. D.D.S., P.C.
Active
Other names
Lakefront Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH ASHLEY SHEPPARD (OFFICE MANAGER)
(504) 282-5557
Entity
Organization
Contact information
Practice address
7037 CANAL BLVD, SUITE 210, NEW ORLEANS, LA 70124-3453
(504) 282-5557
(504) 286-0038
Mailing address
7037 CANAL BLVD, SUITE 210, NEW ORLEANS, LA 70124-3453
(504) 282-5557
(504) 286-0038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3433
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116446
CIGNA HMO
LA
01
—
4386829440
BCBS OF LA
LA
01
—
578120
UCCI
LA
01
—
67024104
BCBS OF AL
LA
Enumeration date
05/01/2007
Last updated
08/22/2020
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