Mark A Tallis Dds Apdc

Dental Clinic

 
5225 O Donovan Drive, Suite 103, Baton Rouge
    Louisiana, 70808-4353

 225-769-8555    225-766-8579 Maps & Directions
Mark A Tallis Dds Apdc is a Dental Clinic in Baton Rouge, Louisiana. It is located at 5225 O Donovan Drive, Suite 103, Baton Rouge, LA and its contact number is 225-769-8555. The authorized person for Mark A Tallis Dds Apdc is Dr. Mark Anthony Tallis who is President Of S Corp Dentist Owner of the clinic and their contact number is 225-769-8555. The primary license number for Mark A Tallis Dds Apdc is 4456 (General Practice) in Louisiana.
Mark A Tallis Dds Apdc 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:
Mark A Tallis Dds Apdc Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Mark A Tallis Dds Apdc
Specialization: General Practice Dentistry
Clinic Address:5225 O Donovan Drive, Suite 103, Baton Rouge,
Louisiana, 70808-4353
Phone:225-769-8555
Fax:225-766-8579
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. Mark Anthony Tallis
Position: President Of S Corp Dentist Owner
Contact Number: 225-769-8555
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 Mark A Tallis Dds Apdc clinic are as mentioned below.
NPI Number: 1205978889
NPI Enumeration Date: 12 Feb, 2007
NPI Last Update On: 09 Jul, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark A Tallis Dds Apdc are as mentioned below.
SpecializationLicense NumberStateStatus
General Practice 4456LouisianaPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1844560MedicaidLouisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mark A Tallis Dds Apdc
5225 O Donovan Drive, Suite 103
Baton Rouge, Louisiana
Zip: 70808-4353
Phone Number: 225-769-8555
Fax Number: 225-766-8579
Patients can reach Mark A Tallis Dds Apdc at 5225 O Donovan Drive, Suite 103, Baton Rouge, Louisiana or can call to book an appointment on 225-769-8555. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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