Cothren, Toby Gregory

Cothren, Toby Gregory is an sole proprietor health care provider with primary practice located at 812 Park Ave , Mandeville LA 70448-4921. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cothren, Toby Gregory can be contacted via phone (985) 624-7400.

Contact Information

Primary practice address
812 Park Ave Mandeville LA 70448-4921
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3265 Louisiana

Profile Details

NPI number 1104859495
LBN Legal business name Cothren, Toby Gregory
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104859495 NPPES
Louisiana MEDICAID 1832651

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