Provider Demographics
NPI:1407970247
Name:LEJEUNE, KURT ANTHONT (DDS, DABCFP)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:ANTHONT
Last Name:LEJEUNE
Suffix:
Gender:M
Credentials:DDS, DABCFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3138 MCILHENNY DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-8655
Mailing Address - Country:US
Mailing Address - Phone:225-248-8400
Mailing Address - Fax:225-248-8800
Practice Address - Street 1:3138 MCILHENNY DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-8655
Practice Address - Country:US
Practice Address - Phone:225-248-8400
Practice Address - Fax:225-248-8800
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA44471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice