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Organization

WILLIAM R. LEDOUX D.D.S. A.P.D.C.

Active
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Organization

WILLIAM R. LEDOUX D.D.S. A.P.D.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM R LEDOUX (PRESIDENT/OWNER)
(985) 674-1500
Entity
Organization

Contact information

Practice address
260 DALWILL DR, MANDEVILLE, LA 70471-3372
(985) 674-1500
(985) 674-9188
Mailing address
260 DALWILL DR, MANDEVILLE, LA 70471-3372
(985) 674-1500
(985) 674-9188

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2081
MS
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2993
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05789559
MS
01
116434
UNITED CONCORDIA
LA
05
1829935
LA
01
437902103D
BLUE CROSS BLUE SHIELD
LA
Enumeration date
08/18/2006
Last updated
08/02/2022
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