NPI 1104243054

K. Richard Dubois, D.D.S.

Organisation General Practice Dentistry New Orleans, LA

Practice location

Address: 5760 Hayne Blvd, New Orleans, LA 70126-1252
Phone: (504) 241-8457
Fax: (504) 241-8450

Authorised official

Name: Kenneth Richard Dubois
Title: Owner
Phone: (504) 241-8457

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2809 (LA)

Other Dentist providers in Louisiana →

Registry record

NPI: 1104243054
Entity type: Organization
NPI issued: 27 Mar 2014
Record last updated: 29 Mar 2014

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.