Provider Demographics
NPI:1003525767
Name:LAISSEZ FAIRE CARE LLC
Entity Type:Organization
Organization Name:LAISSEZ FAIRE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:GLENNEICER
Authorized Official - Middle Name:
Authorized Official - Last Name:FFRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-615-9186
Mailing Address - Street 1:3610 N BRIARWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-5219
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3610 N BRIARWOOD LN
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-5219
Practice Address - Country:US
Practice Address - Phone:765-289-1578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2023-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty