OrganizationActive
Oral & Maxillofacial Surgery Center of South Louisiana LLC
NPI 1629642046 · Oral and Maxillofacial Surgery (Dentist) · Covington, LA
Provider details
- NPI number
- 1629642046
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Joshua Brandner, Owner(985) 640-2236
Specialties & taxonomies
Dental Providers
Practice location
363 Lakeview Ct
Covington, LA 70433-7515
Phone: (985) 687-1616
Fax: (888) 920-7457
Approximate (ZIP-level) locationGet directions
Mailing address
363 Lakeview Ct
Covington, LA 70433-7515
Registry dates
- Enumerated
- 2021-05-19
- Last updated
- 2021-05-19
- Certified
- 2021-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.