Organization · Type 2 NPI
St. Tammany Periodontics & Implants LLC
Periodontics · Covington, LA
NPI number
1104496744
Active
Practice location
5024 Keystone Blvd Ste A
Covington, LA 70433-7517
Fax (985) 778-0428
Other practice locations
- 1414 Old Spanish Trl, Slidell, LA 70458-5022 · (985) 590-1651
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2 other providers at this address
About NPI 1104496744
St. Tammany Periodontics & Implants LLC's National Provider Identifier is 1104496744, issued on Jun 27, 2021. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Covington, LA. The record was last updated on Jun 27, 2021.