Joseph Oliver Laprairie Jr., DDS
Individual provider Active NPI General Practice Dentistry · Bunkie, LA
NPI 1194889857 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194889857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2364 (LA)
- Practice address
- 117 W Magnolia St
Bunkie, LA 71322-1777 - Phone
- (318) 346-6774
- Fax
- (318) 346-6776
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2364 | LA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2364 | LA | Yes |
Addresses
Primary practice location
117 W Magnolia St
Bunkie, LA 71322-1777
Mailing address
PO Box 230
Bunkie, LA 71322-0230
Phone (318) 346-6774
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1823643 | Medicaid | LA |
Other providers in Bunkie, LA
- Robert Harris Krupkin
- Tiffany Laborde
- Stephanie Lacour
- Paul B Lapoint
- Paul Bradley Lapoint Jr.
- Clay R Lassiter
- Blaine Edward Lavergne
- Julie Lemoine
- Alexis Leonard
- Shania Lewis
All providers in Bunkie, LA · General Practice Dentistry in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.