Family Dentistry Of Bogalusa is a Dental Clinic in Bogalusa, Louisiana. It is located at 400 Louisiana Ave, Bogalusa, LA and its contact number is 985-735-7372. The authorized person for Family Dentistry Of Bogalusa is Dr. Charlie P Ilawan
who is Owner of the clinic and their contact number is 985-735-7372. The primary license number for Family Dentistry Of Bogalusa is 4361 (General Practice) in Louisiana. Family Dentistry Of Bogalusa 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:
Family Dentistry Of Bogalusa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
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:
Dr. Charlie P Ilawan
Position:
Owner
Contact Number:
985-735-7372
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 Family Dentistry Of Bogalusa clinic are as mentioned below.
NPI Number:
1578777108
NPI Enumeration Date:
10 May, 2007
NPI Last Update On:
04 Nov, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Family Dentistry Of Bogalusa are as mentioned below.
Specialization
License Number
State
Status
General Practice
4361
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
1880949
Medicaid
Louisiana
09014606
Medicaid
Mississippi
971021
Other
Louisiana
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:
Family Dentistry Of Bogalusa 400 Louisiana Ave, Bogalusa, Louisiana
Zip:
70427-3323
Phone Number:
985-735-7372
Fax Number:
985-732-5944
Patients can reach Family Dentistry Of Bogalusa at 400 Louisiana Ave, Bogalusa, Louisiana or can call to book an appointment on 985-735-7372. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.