Red River Dental Llc
Dental Clinic/Center in Alexandria, LA(View on Map)
Legal Business Name
Red River Dental Llc
NPI Number
1154661064
NPI Type
Organization
Enumeration Date
03/01/2013
Specialties
(Taxonomies)Licenses
State
Louisiana
License Number
5978
Contact
Information
Purpose
Mailing
Location
Address
1408 PETERMAN DR
1408 PETERMAN DR
City
Alexandria
Alexandria
State
LA
LA
Postal Code
71301-3432
71301-3432
Country
US
US
Telephone Number
(318) 427-9220
(318) 427-9220
Authorized Official
Name
Dr. William Puckett
Title or Position
MEMBER/MANAGER
Telephone Number
(318) 427-9220
Identifiers
Identifier
1859788
Identifier State
LA
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/01/2013
Provider Address
Other Dental Clinics/Centers in Alexandria, Louisiana:
Louisiana Sleep Health, Llc
May also be known as Louisiana Sleep Health, Llc
Alexandria, LASpecialty: Dental Clinic/Center (Primary)