NPI 1083097877

Christy Marcello, DDS

Practitioner Dentist Thibodaux, LA

Practice location

Address: 156 W Main St, Thibodaux, LA 70301
Phone: (985) 226-1076
Mailing address: 1100 Florida Ave Pediatric Dentistry, New Orleans, LA 70119-2715

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 6563 (LA)

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Registry record

NPI: 1083097877
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2015
Record last updated: 30 Jun 2015

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.