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NPI 1508392069

OrganizationActive

Deep South Family Dentistry

NPI 1508392069 · Dentist · Ponchatoula, LA

Provider details

NPI number: 1508392069
Entity type: Organization
Primary specialty: DentistDental Providers
Organization subpart: No
Authorized official: Gregg May, Owner/Dentist(985) 386-9936
License: 5258 (LA)

Specialties & taxonomies

DentistPrimary122300000XLicense 5258 (LA)
Dental Providers

Practice location

1160 Hwy 51 North

Ponchatoula, LA 70454

Phone: (985) 386-9936

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

1160 Hwy 51 North

Ponchatoula, LA 70454

Registry dates

Enumerated: 2017-05-03
Last updated: 2017-05-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Deep South Family Dentistry — NPI 1508392069, Ponchatoula, LA | NPI Central