Country Club Dental in Baton Rouge - General Practice
Country Club Dental - NPI 1003970682
Country Club Dental is a General Practice in Baton Rouge, Louisiana. Country Club Dental practices all healthcare services and medical treatments related to General Practice. The NPI Number for Country Club Dental is 1003970682. The last update date is 2020-08-22.
Country Club Dental's current location address is 16645 Highland Rd Ste J, Baton Rouge, Louisiana. You can contact this provider via phone number 2252140100 and fax number 2252140103. The mailing address for Country Club Dental is 16645 Highland Rd Ste J, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Country Club Dental |
---|---|
Address | 16645 Highland Rd Ste J, Baton Rouge, Louisiana |
Phone Number | 2252140100 |
Fax Number | 2252140103 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DENTIST |
---|---|
Authorized Official Name | Bourg Paul Darrell |
Credentials | DDS |
Telephone Number | 5042326624 |
NPI Number Detail
NPI Number | 1003970682 |
---|---|
Provider Enumeration Date | 2006-12-20 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 16645 Highland Rd Ste J |
---|---|
City | Baton Rouge |
State | Louisiana (LA) |
Post Code | 708106567 |
Phone Number | 2252140100 |
Fax Number | 2252140103 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
---|---|
Taxonomy | 1223G0001X |
Licence No | 5312 |
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. |
Post Comment/ Review Below
What is the unique provider identifier assigned to Country Club Dental?
The Country Club Dental has been issued the NPI (National Provider Identifier) 1003970682 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Country Club Dental?
The Country Club Dental is physically situated at 16645 Highland Rd Ste J, in the city of Baton Rouge, state of LA, with the postal code 708106567.
What is Country Club Dental's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Country Club Dental is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003970682 to Country Club Dental?
The Country Club Dental received its 1003970682 assignment from the Centers for Medicare & Medicaid Services on 2006-12-20.
When was the information regarding Country Club Dental most recently updated?
The details pertaining to the Country Club Dental, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO