Christy Drum Ammons, D.D.S.
Individual provider Active NPI Dentist · Lake Charles, LA
NPI 1790700516 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790700516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 4614 (LA)
- Practice address
- 214 W McNeese St
Lake Charles, LA 70605-5639 - Phone
- (337) 478-0870
- Fax
- (337) 478-0891
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|
| 4614 | LA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4614 | LA | Yes |
Addresses
Primary practice location
214 W McNeese St
Lake Charles, LA 70605-5639
Mailing address
214 W McNeese St
Lake Charles, LA 70605-5639
Phone (337) 478-0870
Other providers in Lake Charles, LA
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.