Organization
GREEN GREGSON FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY M GREGSON DDS (OWNER)
(504) 849-0190
Entity
Organization
Contact information
Practice address
3812 RIDGELAKE DR, SUITE 300, METAIRIE, LA 70002
(504) 849-0190
(504) 849-0192
Mailing address
3812 RIDGELAKE DR, SUITE 300, METAIRIE, LA 70002
(504) 849-0190
(504) 849-0192
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
3148
LA
Other
Enumeration date
09/13/2010
Last updated
05/10/2019
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