Raymond J. Schexnayder, D.D.S.

Individual provider Active NPI General Practice Dentistry · Jeanerette, LA

NPI 1487775078 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1487775078
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2158 (LA)
Practice address
1429 Church St
Jeanerette, LA 70544-4432
Phone
(337) 276-4111
Fax
(337) 276-4111
NPI assigned
Apr 2, 2007
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

LicenseStateTypeSpecialty
2158LAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2158 LA Yes

Addresses

Primary practice location

1429 Church St
Jeanerette, LA 70544-4432

Mailing address

1429 Church St
Jeanerette, LA 70544-4432
Phone (337) 276-4111

Other identifiers

IdentifierTypeStateIssuer
1821586MedicaidLA

Other providers in Jeanerette, LA

All providers in Jeanerette, LA · General Practice Dentistry in Louisiana

Sources for this page

Verify at the official NPI Registry.