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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COUNTRY CLUB DENTAL

Active Organization

COUNTRY CLUB DENTAL is a General Dentistry organization located in BATON ROUGE, Louisiana. NPI 1003970682 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BATON ROUGE, LA

Registration Details

NPI Number
1003970682
Provider Type
Organization
NPI Issued
Dec 20, 2006 (19.467693995632 yrs)
Last Updated
Aug 22, 2020
License
5312 (LA)

Practice Information

Address
16645 HIGHLAND RD STE J
BATON ROUGE, LA, 708106567
Browse LA providers · Browse ZIP 70810
Phone
2252140100
Fax
2252140103
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in BATON ROUGE, LA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.