Gordy Louis Landry in Abbeville - General Practice

Gordy Louis Landry - NPI 1093700130

Gordy Louis Landry is a General Practice in Abbeville, Louisiana. Gordy Louis Landry practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gordy Louis Landry is 1093700130. The last update date is 2007-07-08.

Gordy Louis Landry's current location address is 900 Live Oak St, Abbeville, Louisiana. You can contact this provider via phone number 3378937497. The mailing address for Gordy Louis Landry is 900 Live Oak St, Abbeville, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordy Louis Landry
Address 900 Live Oak St, Abbeville, Louisiana
Phone Number 3378937497
Fax Number
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1093700130
Provider Enumeration Date 2005-09-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 900 Live Oak St
City Abbeville
State Louisiana (LA)
Post Code 705106558
Phone Number 3378937497
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2457
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1824577 LA --

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FAQs about Gordy Louis Landry

What is the unique 10-digit identification code issued to Gordy Louis Landry by the Centers for Medicare & Medicaid Services?

The Gordy Louis Landry has been assigned the NPI (National Provider Identifier) 1093700130 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Gordy Louis Landry?

The Gordy Louis Landry is physically situated at 900 Live Oak St, in the city of Abbeville, state of LA, with the postal code 705106558.

What is Gordy Louis Landry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gordy Louis Landry is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1093700130 to Gordy Louis Landry?

The Centers for Medicare & Medicaid Services originally issued the 1093700130 to Gordy Louis Landry on 2005-09-14.

As of what date were the details pertaining to Gordy Louis Landry last refreshed?

The information related to the Gordy Louis Landry, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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