Provider Demographics
NPI:1437207149
Name:ROBERT D WESTERMAN DDS
Entity Type:Organization
Organization Name:ROBERT D WESTERMAN DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:WESTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:225-927-3442
Mailing Address - Street 1:7931 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1208
Mailing Address - Country:US
Mailing Address - Phone:225-927-3442
Mailing Address - Fax:225-927-3457
Practice Address - Street 1:7931 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1208
Practice Address - Country:US
Practice Address - Phone:225-927-3442
Practice Address - Fax:225-927-3457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA035980OtherUNITED CONCORDIA
LA1870OtherLICENSE
LA1818704Medicaid
LAF1105OtherBLUE CROSS ID
LA4305844810OtherBLUE CROSS PROVIDER
LAF1105OtherBLUE CROSS ID
LAF1105OtherBLUE CROSS ID