Laurie R. Glaser, D.D.S.
Individual provider Active NPI General Practice Dentistry · Boutte, LA
NPI 1265582464 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1265582464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5328 (LA)
- Practice address
- 13270 Highway 90
Boutte, LA 70039 - Phone
- (985) 785-0123
- Fax
- (985) 785-0125
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 5328 | LA | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glaser Family Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5328 | LA | Yes |
Addresses
Primary practice location
13270 Highway 90
Boutte, LA 70039
Mailing address
PO Box 515
Boutte, LA 70039-0515
Phone (985) 785-0123
Other providers in Boutte, LA
- Marquita George
- Diana Giang
- Marcus Parks Giuffria
- Glaser Family Practice
- Glaser Vision Ventures, Inc.
- Peter L. Glaser
- Larry Hasten
- Delbert Johnson
- Lake Wellness Center, LLC
- Andy Minh Le
All providers in Boutte, 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.