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C Marcello Dds, Msd, Llc
Pediatric Dentist in Thibodaux, Louisiana
NPI 1528704756

C Marcello Dds, Msd, Llc is a Pediatric Dentist based in Thibodaux, LA and is specialized in Pediatric Dentistry. C Marcello Dds, Msd, Llc practices in Thibodaux, LA. The NPI Number for C Marcello Dds, Msd, Llc is 1528704756 and holds a License No. (Louisiana).

The current practice location address for C Marcello Dds, Msd, Llc is 156 W Main St, Thibodaux, LA and can be reached out via phone at 985-446-3754.

Location: 156 W Main St, Thibodaux, LA, 70301-5216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528704756
Provider Name
C Marcello Dds, Msd, Llc
Credential
Provider Entity Type
Organization
Address
156 W Main St, Thibodaux, LA, 70301-5216
Phone Number
985-446-3754
Fax Number
Provider Enumeration Date
05/10/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1865630 05 LA
institution
Provider Business Practice Location Address Details
Address
156 W Main St
City
Thibodaux
State
Louisiana
Zip
70301-5216
Phone Number
985-446-3754
Fax Number
person
Provider Business Mailing Address Details
Address
156 W Main St
City
Thibodaux
State
Louisiana
Zip
70301-5216
Phone Number
985-446-3754
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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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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