Provider Demographics
NPI:1063521284
Name:CARING FAMILY DENTISTRY LLC
Entity type:Organization
Organization Name:CARING FAMILY DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:225-686-7778
Mailing Address - Street 1:14088 FLORIDA BLVD
Mailing Address - Street 2:P. O. BOX 1300
Mailing Address - City:LIVINGSTON
Mailing Address - State:LA
Mailing Address - Zip Code:70754
Mailing Address - Country:US
Mailing Address - Phone:225-686-7778
Mailing Address - Fax:225-686-7779
Practice Address - Street 1:14088 FLORIDA BLVD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:LA
Practice Address - Zip Code:70754-6307
Practice Address - Country:US
Practice Address - Phone:225-686-7778
Practice Address - Fax:225-686-7779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA44371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAF9212OtherBLUE CROSS BLUE SHIELD
LA1844373Medicaid
LAF9212OtherBLUE CROSS BLUE SHIELD