is a Dental Clinic in Baton Rouge, Louisiana. It is located at 15420 S Harrells Ferry Rd, Suite C, Baton Rouge, LA and its contact number is 225-753-5885. The authorized person for is Carlos Miguel Suadi
who is Owner of the clinic and their contact number is 225-753-5885. The primary license number for is 4818 (General Practice) in Louisiana. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
15420 S Harrells Ferry Rd, Suite C, Baton Rouge, Louisiana, 70816-2940
Phone:
225-753-5885
Fax:
225-753-5908
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Carlos Miguel Suadi
Position:
Owner
Contact Number:
225-753-5885
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1073601720
NPI Enumeration Date:
10 Oct, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
4818
Louisiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1848182
Medicaid
Louisiana
856322
Other
United Concordia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
15420 S Harrells Ferry Rd, Suite C Baton Rouge, Louisiana
Zip:
70816-2940
Phone Number:
225-753-5885
Fax Number:
225-753-5908
Patients can reach at 15420 S Harrells Ferry Rd, Suite C, Baton Rouge, Louisiana or can call to book an appointment on 225-753-5885. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.