St. Bernard Dental Group

LBN: St. Bernard Dental Group
St. Bernard Dental Group is an health care organization with primary practice located at 2600 Belle Chasse Hwy Ste 200 , Terrytown LA 70056-7156. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. St. Bernard Dental Group can be contacted via phone (504) 392-9874, or through Crear, Tracy Manuel via phone (504) 392-9874.

Contact Information

Primary practice address
2600 Belle Chasse Hwy Ste 200 Terrytown LA 70056-7156
Fax: (504) 392-9990
Website:
Authorized official contact:
Name: Crear, Tracy Manuel Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1952436404
LBN Legal business name St. Bernard Dental Group
DBA Doing business as
Authorized official Crear, Tracy Manuel Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1952436404 NPPES
Louisiana MEDICAID 1880311

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