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

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
BL Dental LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
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 Doing business as

Other providers in Rayville, LA

All providers in Rayville, LA · Dentist in Louisiana

Sources for this page

Verify at the official NPI Registry.