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MANDEVILLE DENTAL ASSOCIATES LLC NPI 1013770189


NPI Information

NPI: 1013770189
Provider Name: MANDEVILLE DENTAL ASSOCIATES LLC

Doing Business As: FREEMAN SMILES

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1510 W CAUSEWAY APPROACH STE B
MANDEVILLE, LA
ZIP 70471
Phone: (985) 231-7600
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MANDEVILLE DENTAL ASSOCIATES LLC is a pediatric dentistry dentist in Mandeville, LA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MANDEVILLE DENTAL ASSOCIATES LLC NPI is 1013770189. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Freeman Smiles.

The provider's business location address is:

1510 W CAUSEWAY APPROACH STE B
MANDEVILLE, LA
ZIP 70471-022
Phone: (985) 231-7600

The provider's authorized official is Timothy Michael Poyadou .
The authorized official title is Owner and has the following contact phone number (985) 266-2000.

The enumeration date for this NPI number is 2/1/2024 and was last updated on 2/5/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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