NPI 1013179746

Wightman Family Dental

Organisation General Practice Dentistry Chalmette, LA

Practice location

Address: 2212 Paris Rd, Chalmette, LA 70043-5025
Phone: (504) 272-0870
Fax: (504) 302-9054

Authorised official

Name: Mark Joseph Wightman
Title: Dentist/Owner
Phone: (504) 272-0870

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 5747 (LA)

Other Dentist providers in Louisiana →

Dentist

Dental Providers Taxonomy 122300000X Licence 5746 (LA)

Registry record

NPI: 1013179746
Entity type: Organization
NPI issued: 25 Jun 2008
Record last updated: 25 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.