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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