Mark A Tallis Dds Apdc

LBN: Mark A Tallis Dds Apdc
Mark A Tallis Dds Apdc is an health care organization with primary practice located at 5225 O Donovan Drive Suite 103, Baton Rouge LA 70808-4353. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mark A Tallis Dds Apdc can be contacted via phone (225) 769-8555, or through Tallis, Mark Anthony via phone (225) 769-8555.

Contact Information

Primary practice address
5225 O Donovan Drive Suite 103 Baton Rouge LA 70808-4353
Phone: (225) 769-8555
Fax: (225) 766-8579
Website:
Map and Directions
Authorized official contact:
Name: Tallis, Mark Anthony Doctor of Dental Surgery (DDS)
Phone: (225) 769-8555

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4456 Louisiana

Profile Details

NPI number 1205978889
LBN Legal business name Mark A Tallis Dds Apdc
DBA Doing business as
Authorized official Tallis, Mark Anthony Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 9th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205978889 NPPES
Louisiana MEDICAID 1844560

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