IndividualActive
Douglas George, DDS
NPI 1750879854 · General Practice Dentistry · Ponchatoula, LA
Provider details
- NPI number
- 1750879854
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 6849 (LA)
Specialties & taxonomies
Dental Providers
Dental Providers
Student, Health Care
Practice location
430 E Pine St
Ponchatoula, LA 70454-2544
Phone: (985) 386-8454
Fax: (985) 386-8467
Approximate (ZIP-level) locationGet directions
Mailing address
430 E Pine St
Ponchatoula, LA 70454-2544
Registry dates
- Enumerated
- 2018-04-25
- Last updated
- 2021-05-27
- Certified
- 2021-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.