Dr. Jeffrey Michael Hepburn, D.D.S.
Dentist in Mandeville, LA. Individual provider (NPI-1).
NPI number1417240474
StatusActive
Last updated in NPPESMay 24, 2011
Details
- NPI
- 1417240474
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey Michael Hepburn
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 24, 2011
- Last updated
- May 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 6160 | LA | Yes |
Practice location
2083 3rd StMandeville, LA 70471-6426
Phone 985-221-4017
Mailing address
2083 3rd StMandeville, LA 70471-6426
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