institution
Nathan Ray Fontenot, Jr., Apdc
Dental Clinic/Center in Jennings, Louisiana
NPI 1114262649

Nathan Ray Fontenot, Jr., Apdc is a Dental Clinic/Center based in Jennings, LA and is specialized in Dental. Nathan Ray Fontenot, Jr., Apdc practices in Jennings, LA. The NPI Number for Nathan Ray Fontenot, Jr., Apdc is 1114262649 and holds a License No. 3543 (Louisiana).

The current practice location address for Nathan Ray Fontenot, Jr., Apdc is 715 N Main St, Jennings, LA and can be reached out via phone at 337-824-4963 and via fax at 337-824-4961.

Location: 715 N Main St, Jennings, LA, 70546-0815
institution
Provider Profile Details
NPI Number
1114262649
Provider Name
Nathan Ray Fontenot, Jr., Apdc
Credential
Provider Entity Type
Organization
Address
715 N Main St, Jennings, LA, 70546-0815
Phone Number
337-824-4963
Fax Number
337-824-4961
Provider Enumeration Date
12/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18354319 05 LA
institution
Provider Business Practice Location Address Details
Address
715 N Main St
City
State
Zip
70546-5311
Phone Number
337-824-4963
Fax Number
337-824-4961
person
Provider Business Mailing Address Details
Address
715 N Main St
City
State
Zip
70546-5311
Phone Number
337-824-4963
Fax Number
337-824-4961
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
3543 (Louisiana)
Definition
Definition to come...
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