Beth Saacks DDS Apdc
Dentist, General Practice in Mandeville, LA. Organization (NPI-2).
NPI number1962558007
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1962558007
- Entity type
- Organization (NPI-2)
- Legal business name
- Beth Saacks DDS Apdc
- Organization subpart
- No
- Enumeration date
- Jan 25, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4808 | LA | Yes |
Practice location
2881 Highway 190 Ste D4Mandeville, LA 70471-3248
Phone 985-626-8980 · Fax 985-727-4660
Mailing address
2881 Highway 190 Ste D4Mandeville, LA 70471-3248
Phone 985-626-8980 · Fax 985-727-4660
Authorized official
Beth D Saacks
Owner
9856268980
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