NPI Registry.org

Azalea Dental Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
AZALEA DENTAL LLC13266287102021-04-10

The organization Azalea Dental Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1326628710. Registration indicates Azalea Dental Llc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Dental, ) (Clinic/Center Dental, Ambulatory Health Care Facilities) (Clinic/Center, )

Other Names:
Entity TypeOrganization
Provider OrganizationAZALEA DENTAL LLC
Practice Office Address10634 N OAK HILLS PKWY STE A
BATON ROUGE, LA US
Practice Office Telephone2257663474
Practice Office Fax2257663475
Mailing Address10634 N OAK HILLS PKWY STE A
BATON ROUGE, LA 708102983 US
Business Telephone2257663474
Business Fax2257663475
Authorized OfficialLESLIE HARGROVE, MANAGER
2252703392
HPT Codes
CodePractice
License No
State
261QD0000X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Dental

Clinic/Center Dental
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
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