J Philip Epling III a Professional Dental Corp

NPI #1790827277 in Pearl River, Louisiana

Provider Information

NPI Number: 1790827277
Entity Type: Organization
Organization Name: J Philip Epling III a Professional Dental Corp
Primary Specialty: Dentist
Enumeration Date: Feb 13, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 63222 HIGHWAY 1090
City: Pearl River
State: Louisiana
ZIP Code: 70452
Phone: (985) 863-7687

Authorized Official

Name: JOHN PHILIP EPLING III, DDS
Title: OWNER DENTIST
Phone: (985) 863-7687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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