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Jack Francis Coburn
General Practice Dentistry in Chalmette, Louisiana
NPI 1265065049

Jack Francis Coburn is a General Practice Dentistry based in New Orleans, LA and is specialized in General Practice. Jack Francis Coburn practices in Chalmette, LA. The NPI Number for Jack Francis Coburn is 1265065049 and holds a License No. (Louisiana).

The current practice location address for Jack Francis Coburn is 9020 W Judge Perez Dr, Chalmette, LA and can be reached out via phone at 504-277-4401. You can also correspond with Jack Francis Coburn through the mailing address at 3142 STATE STREET DR, NEW ORLEANS, LA - 70125-4241 (mailing address contact number: 503-806-9210).

Location: 9020 W Judge Perez Dr, Chalmette, LA, 70125-4241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265065049
Provider Name
Jack Francis Coburn
Credential
Provider Entity Type
Individual
Gender
Male
Address
9020 W Judge Perez Dr, Chalmette, LA, 70125-4241
Phone Number
504-277-4401
Fax Number
Provider Enumeration Date
02/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9020 W Judge Perez Dr
City
Chalmette
State
Louisiana
Zip
70043-4500
Phone Number
504-277-4401
Fax Number
person
Provider Business Mailing Address Details
Address
3142 State Street Dr
City
New Orleans
State
Louisiana
Zip
70125-4241
Phone Number
503-806-9210
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
7163 (Louisiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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