Provider Demographics
NPI:1073600516
Name:MORVANT, DREW B (DDS)
Entity Type:Individual
Prefix:DR
First Name:DREW
Middle Name:B
Last Name:MORVANT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5037 VETERANS MEMORIAL BLVD.
Mailing Address - Street 2:STE. 1A
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006
Mailing Address - Country:US
Mailing Address - Phone:504-887-2428
Mailing Address - Fax:
Practice Address - Street 1:5037 VETERANS MEMORIAL BLVD.
Practice Address - Street 2:STE. 1A
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006
Practice Address - Country:US
Practice Address - Phone:504-887-2428
Practice Address - Fax:504-885-3842
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA31841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice