Provider Demographics
NPI:1184138034
Name:DUMAS FAMILY DENTAL
Entity type:Organization
Organization Name:DUMAS FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MS
Authorized Official - First Name:MARCHELLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GARIBALDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-606-6565
Mailing Address - Street 1:3004 GENTILLY BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-2231
Mailing Address - Country:US
Mailing Address - Phone:504-435-1800
Mailing Address - Fax:
Practice Address - Street 1:3004 GENTILLY BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122
Practice Address - Country:US
Practice Address - Phone:504-435-1800
Practice Address - Fax:504-435-1821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty