Organization · Type 2 NPI
Sullivan Dental Center
Pediatric Dentistry · St. Francisville, LA
NPI number
1598873580
Active
Practice location
5436 Commerce St
St. Francisville, LA 70775
Fax (225) 241-7155
Mailing address
PO Box 2880
St. Francisville, LA 70775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 5062 (LA) |
| Dentist | 122300000X | 5558 (LA) |
| Pediatric Dentistry Primary | 1223P0221X | 4988 (LA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
About NPI 1598873580
Sullivan Dental Center's National Provider Identifier is 1598873580, issued on Aug 29, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in St. Francisville, LA. The record was last updated on Aug 22, 2007.