C Marcello Dds, Msd, Llc

LBN: C Marcello Dds, Msd, Llc
C Marcello Dds, Msd, Llc is an health care organization with primary practice located at 156 W Main St , Thibodaux LA 70301-5216. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. C Marcello Dds, Msd, Llc can be contacted via phone (985) 446-3754, or through Marcello, Christy via phone (985) 446-3754.

Contact Information

Primary practice address
156 W Main St Thibodaux LA 70301-5216
Phone: (985) 446-3754
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marcello, Christy Doctor of Dental Surgery (DDS)
Phone: (985) 446-3754

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1528704756
LBN Legal business name C Marcello Dds, Msd, Llc
DBA Doing business as
Authorized official Marcello, Christy Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2022
Last updated May 10th, 2022 - about 3 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 1528704756 NPPES
Louisiana MEDICAID 1865630

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