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Thorson Dentistry For Kids
Pediatric Dentist in Destrehan, Louisiana
NPI 1124507611

Thorson Dentistry For Kids is a Pediatric Dentist based in Destrehan, LA and is specialized in Pediatric Dentistry. Thorson Dentistry For Kids practices in Destrehan, LA. The NPI Number for Thorson Dentistry For Kids is 1124507611 and holds a License No. (Louisiana).

The current practice location address for Thorson Dentistry For Kids is 159 Longview Dr Ste A, Destrehan, LA and can be reached out via phone at 985-307-0072.

Location: 159 Longview Dr Ste A, Destrehan, LA, 70047-5076
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124507611
Provider Name
Thorson Dentistry For Kids
Credential
Provider Entity Type
Organization
Address
159 Longview Dr Ste A, Destrehan, LA, 70047-5076
Phone Number
985-307-0072
Fax Number
Provider Enumeration Date
08/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1861227 05 LA
6122 01 LA STATE LICENSE
26622 05 LA
28782 05 LA
institution
Provider Business Practice Location Address Details
Address
159 Longview Dr Ste A
City
Destrehan
State
Louisiana
Zip
70047
Phone Number
985-307-0072
Fax Number
person
Provider Business Mailing Address Details
Address
159 Longview Dr Ste A
City
Destrehan
State
Louisiana
Zip
70047
Phone Number
985-307-0072
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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