C.M. Lester Dds A Professional Dental Corp

LBN: C.M. Lester Dds A Professional Dental Corp
C.M. Lester Dds A Professional Dental Corp is an health care organization with primary practice located at 4034 Hollywood Ave , Shreveport LA 71109-7938. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. C.M. Lester Dds A Professional Dental Corp can be contacted via phone (318) 631-0270, or through Lester, Charley Marion via phone (318) 631-0270.

Contact Information

Primary practice address
4034 Hollywood Ave Shreveport LA 71109-7938
Phone: (318) 631-0270
Fax: (318) 631-0233
Website:
Map and Directions
Authorized official contact:
Name: Lester, Charley Marion Doctor of Dental Surgery (DDS)
Phone: (318) 631-0270

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 1956 Louisiana

Profile Details

NPI number 1356613681
LBN Legal business name C.M. Lester Dds A Professional Dental Corp
DBA Doing business as
Authorized official Lester, Charley Marion Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2012
Last updated Feb 2nd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356613681 NPPES
Louisiana MEDICAID 1819565

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