James Merrill Conly in Coushatta - Dentist
James Merrill Conly - NPI 1801917265
James Merrill Conly is a Dentist in Coushatta, Louisiana. James Merrill Conly practices all healthcare services and medical treatments related to Dentist. The NPI Number for James Merrill Conly is 1801917265. The last update date is 2007-07-08.
James Merrill Conly's current location address is P.o. Box 503, Coushatta, Louisiana. You can contact this provider via phone number 3189329820 and fax number 3189324845. The mailing address for James Merrill Conly is P.o. Box 503, Coushatta, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Merrill Conly |
|---|---|
| Address | P.o. Box 503, Coushatta, Louisiana |
| Phone Number | 3189329820 |
| Fax Number | 3189324845 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1801917265 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | P.o. Box 503 |
|---|---|
| City | Coushatta |
| State | Louisiana (LA) |
| Post Code | 71019 |
| Phone Number | 3189329820 |
| Fax Number | 3189324845 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2350 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1823503 | LA | -- |
Post Comment/ Review Below
What is the James Merrill Conly's unique identification number?
The James Merrill Conly has been assigned the NPI (National Provider Identifier) Number 1801917265 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the James Merrill Conly's physical address?
The James Merrill Conly is physically located at P.O. Box 503, in the city of Coushatta, LA, with the postal code 71019.
What is the James Merrill Conly's specialty and taxonomy code?
The James Merrill Conly's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the James Merrill Conly receive its 1801917265 assignment from the Centers for Medicare & Medicaid Services?
The James Merrill Conly was assigned its 1801917265 by the Centers for Medicare & Medicaid Services on 2007-04-03.
As of what date were the details related to James Merrill Conly most recently updated or revised?
The information pertaining to James Merrill Conly, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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