Dr. Joel Embree Burvant, D.D.S.
Dentist, General Practice in Covington, LA. Individual provider (NPI-1).
NPI number1881989374
StatusActive
Last updated in NPPESJun 13, 2011
Details
- NPI
- 1881989374
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joel Embree Burvant
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2011
- Last updated
- Jun 13, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 6172 | LA | Yes |
Practice location
601 W 18th AveCovington, LA 70433-3064
Phone 985-892-2403
Mailing address
601 W 18th AveCovington, LA 70433-3064
Phone 985-892-2403
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