Organization · Type 2 NPI

Pinecrest Developmental Center

Dental Clinic/Center · Pineville, LA

NPI number 1174852875 Active

Practice location

100 Pinecrest Dr, Attn: Paxton Oliver
Pineville, LA 71360-4276

Call (318) 487-5395 Map

Fax (318) 487-5463

Mailing address

PO Box 5191, Attn; Paxton Oliver
Pineville, LA 71361-5191

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

26 other providers at this address

Other dental clinic/center providers in Pineville

See all in Pineville →

NPI record

NPI: 1174852875
Entity type: Organization (Type 2)
Issued: Dec 9, 2009
Last updated: Dec 9, 2009
Status: Active
Subpart: Yes of Pinecrest Developmental Center

Other names

<unavail>
Pinecrest Dental Clinic · doing business as

Authorized official

Mr. Paxton E. Oliver, M.S.
Mr/dd Regional Assoc. Administrator
(318) 487-5395

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1174852875

Pinecrest Developmental Center's National Provider Identifier is 1174852875, issued on Dec 9, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pineville, LA. The record was last updated on Dec 9, 2009.