Outreach Dentistry in Lafayette - Dentist
Outreach Dentistry - NPI 1205006780
Outreach Dentistry is a Dentist in Lafayette, Louisiana. Outreach Dentistry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Outreach Dentistry is 1205006780. The last update date is 2008-03-11.
Outreach Dentistry's current location address is 510 Guilbeau Rd Ste C, Lafayette, Louisiana. You can contact this provider via phone number 3379930977 and fax number 3379930978. The mailing address for Outreach Dentistry is 510 Guilbeau Rd Ste C, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Outreach Dentistry |
|---|---|
| Address | 510 Guilbeau Rd Ste C, Lafayette, Louisiana |
| Phone Number | 3379930977 |
| Fax Number | 3379930978 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Folse J Gregory |
| Credentials | DDS |
| Telephone Number | 3379930977 |
NPI Number Detail
| NPI Number | 1205006780 |
|---|---|
| Provider Enumeration Date | 2008-03-11 |
| Last Updated Date | 2008-03-11 |
Provider Mailing Address Detail
| Address | 510 Guilbeau Rd Ste C |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705068415 |
| Phone Number | 3379930977 |
| Fax Number | 3379930978 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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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What is the Outreach Dentistry's 1205006780?
The Outreach Dentistry's NPI (National Provider Identifier) Number is 1205006780. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Outreach Dentistry's facilities are situated?
The facilities of Outreach Dentistry are physically located at the following address: 510 Guilbeau Rd Ste C, Lafayette, LA, 705068415.
What is Outreach Dentistry's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Outreach Dentistry's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When did the Outreach Dentistry receive its 1205006780?
The Outreach Dentistry was issued its 1205006780 on 2008-03-11, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Outreach Dentistry most recently updated or revised?
The information pertaining to Outreach Dentistry, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-11.