Ellis D. Braud And Fred A. Tenney is a Dental Clinic in Thibodaux, Louisiana. It is located at 810 Bayou Ln, Thibodaux, LA and its contact number is 985-446-2888. The authorized person for Ellis D. Braud And Fred A. Tenney is Dr. Ellis David Braud Jr.
who is President of the clinic and their contact number is 985-446-2888. Ellis D. Braud And Fred A. Tenney 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:
Ellis D. Braud And Fred A. Tenney Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Ellis D. Braud And Fred A. Tenney
Specialization:
General Practice Dentistry
Clinic Address:
810 Bayou Ln, Thibodaux, Louisiana, 70301-4906
Phone:
985-446-2888
Fax:
985-447-1007
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:
Dr. Ellis David Braud Jr.
Position:
President
Contact Number:
985-446-2888
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 Ellis D. Braud And Fred A. Tenney clinic are as mentioned below.
NPI Number:
1275061079
NPI Enumeration Date:
24 May, 2017
NPI Last Update On:
21 Jul, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ellis D. Braud And Fred A. Tenney are as mentioned below.
Specialization
License Number
State
Status
General Practice
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
29633
Medicaid
Louisiana
29215
Medicaid
Louisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ellis D. Braud And Fred A. Tenney 810 Bayou Ln, Thibodaux, Louisiana
Zip:
70301-4906
Phone Number:
985-446-2888
Fax Number:
985-447-1007
Patients can reach Ellis D. Braud And Fred A. Tenney at 810 Bayou Ln, Thibodaux, Louisiana or can call to book an appointment on 985-446-2888. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.