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Dr. Edward Lawrence Donaldson JR., DDS
Pediatric Dentist in Slidell, Louisiana
NPI 1417015512

Edward Lawrence Donaldson JR. is a Pediatric Dentist based in Slidell, LA and is specialized in Pediatric Dentistry. Edward Lawrence Donaldson JR. practices in Slidell, LA and has the professional credentials of DDS. The NPI Number for Edward Lawrence Donaldson JR. is 1417015512 and holds a License No. 2205 (Louisiana).

The current practice location address for Edward Lawrence Donaldson JR. is 2960 E Gause Blvd, Slidell, LA and can be reached out via phone at 985-641-3988 and via fax at 985-646-2536.

Location: 2960 E Gause Blvd, Slidell, LA, 70461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417015512
Provider Name
Edward Lawrence Donaldson JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2960 E Gause Blvd, Slidell, LA, 70461
Phone Number
985-641-3988
Fax Number
985-646-2536
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1822051 05 LA
institution
Provider Business Practice Location Address Details
Address
2960 E Gause Blvd
City
Slidell
State
Louisiana
Zip
70461
Phone Number
985-641-3988
Fax Number
985-646-2536
person
Provider Business Mailing Address Details
Address
2960 E Gause Blvd
City
Slidell
State
Louisiana
Zip
70461
Phone Number
985-641-3988
Fax Number
985-646-2536
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2205 (Louisiana)
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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