NPI 1023216546

Kredenna Beverly, DDS

Practitioner Pediatric Dentistry Baton Rouge, LA

Practice location

Address: 2314 Weymouth Dr. STE. B, Baton Rouge, LA 70809-5207
Phone: (225) 926-4444
Fax: (225) 926-4050
Mailing address: 1113 Progress Rd, Baton Rouge, LA 70807-3325

Registered specialties (2)

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 13664 (MD)

Other Dentist providers in Louisiana →

Pediatric Dentistry

Dental Providers Taxonomy 1223P0221X Licence 5857 (LA)

Registry record

NPI: 1023216546
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jul 2007
Record last updated: 10 Jul 2012

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.