Brett D Madere DDS Apc
Organization Active NPI Dentist · Reserve, LA
NPI 1235264367 · NPPES record last updated May 1, 2013
Key facts
- NPI
- 1235264367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- LA 4435 (LA)
- Legal business name
- BRETT D MADERE DDS APC
- Practice address
- 190 Central Avenue Reserve la
Reserve, LA 70084 - Phone
- (985) 536-3193
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Brett D Madere, DDS
- Title
- General Dentist
- Phone
- (985) 536-3193
Practitioners 1
-
Brett David Madere, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | LA 4435 | LA | Yes |
Addresses
Primary practice location
190 Central Avenue Reserve la
Reserve, LA 70084
Mailing address
190 Central Avenue Reserve la
PO Drawer O Reserve la
Reserve, LA 70084
Phone (985) 536-3193
Other providers in Reserve, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2013. 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.