Wayne Holden Marionneaux, DDS
Dentist in Bentone, LA. Individual provider (NPI-1).
NPI number1720163587
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720163587
- Entity type
- Individual (NPI-1)
- Name
- Mr. Wayne Holden Marionneaux
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 3571 | LA | Yes |
Practice location
192 Burt BlvdBentone, LA 71006
Phone 318-965-2424 · Fax 318-965-0943
Mailing address
Po Box 427192 Burt Blvd
Benton, LA 71006-0427
Phone 318-965-2424 · Fax 318-965-0943
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.