NPI 1043286891

Russell P Mayer, DDS

Practitioner General Practice Dentistry Hammond, LA

Practice location

Address: 910 W Thomas St, Hammond, LA 70401-3038
Phone: (985) 345-2285
Mailing address: 187 Pine Crest Dr, Hammond, LA 70401-8227

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 3435 (LA)

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Registry record

NPI: 1043286891
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2006
Record last updated: 8 Jul 2007

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.