SearchLouisiana1223G0001X

Douglas George, DDS

NPI 1750879854 · on the registry since 2018

Practice

Address
430 E Pine St
Ponchatoula, LA 70454
Phone
(985) 386-8454
Fax
(985) 386-8467
Organisation at this address
Douglas M George Dds Llc
Rae A. Gauthier, Dds, Llc Dba Ponchatoula Family Dentistry
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
122300000X
390200000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana