B&L Dental, LLC
Organization Active NPI Dentist · Rayville, LA
NPI 1043064074 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1043064074
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- B&L DENTAL, LLC
- Practice address
- 902 Julia St
Rayville, LA 71269-2618 - Phone
- (318) 728-8773
- Fax
- (318) 728-8787
- NPI assigned
- Apr 16, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Jennifer Boles, DDS
- Title
- Owner
- Phone
- (318) 248-4986
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- BL Dental LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
902 Julia St
Rayville, LA 71269-2618
Mailing address
902 Julia St
Rayville, LA 71269-2618
Phone (318) 728-8773
Other names
- Southern Smiles
Other providers in Rayville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.