Provider Demographics
NPI:1265467336
Name:ZERINGUE, GREGORY J (DDS)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:J
Last Name:ZERINGUE
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 1:219 GRINAGE ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70343
Mailing Address - Country:US
Mailing Address - Phone:985-868-5699
Mailing Address - Fax:985-223-4221
Practice Address - Street 1:219 GRINAGE ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70343
Practice Address - Country:US
Practice Address - Phone:985-868-5699
Practice Address - Fax:985-223-4221
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA24801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice