Individual
DR. COLLIN JOEL JIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8427 KELWOOD AVE, BATON ROUGE, LA 70806-4806
(225) 928-9838
Mailing address
2550 BRENTWOOD DR, BATON ROUGE, LA 70809-1745
(318) 469-0025
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7315
LA
1223G0001X
General Practice Dentistry
7315
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2022
Last updated
01/16/2023
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