Dale, Dennis Maestri

Dale, Dennis Maestri is an individual health care provider with primary practice located at 1850 Gause Blvd E Suite 202, Slidell LA 70461-5442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Dale, Dennis Maestri can be contacted via phone (985) 639-3777.

Contact Information

Primary practice address
1850 Gause Blvd E Suite 202 Slidell LA 70461-5442
Fax: (985) 661-3517
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 017248 Louisiana

Profile Details

NPI number 1780685453
LBN Legal business name Dale, Dennis Maestri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jul 14th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780685453 NPPES
Mississippi MEDICAID 06354594
Mississippi MEDICAID 1957267

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