Provider Demographics
NPI:1508929928
Name:SHELBY GEBBS POSNER DDS DBA THE CHILDRENS DENTAL COTTAGE
Entity Type:Organization
Organization Name:SHELBY GEBBS POSNER DDS DBA THE CHILDRENS DENTAL COTTAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:
Authorized Official - Last Name:GEBBS POSNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:985-845-3211
Mailing Address - Street 1:209 W HWY 22
Mailing Address - Street 2:STE F
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447
Mailing Address - Country:US
Mailing Address - Phone:985-845-3211
Mailing Address - Fax:985-845-2895
Practice Address - Street 1:209 W HWY 22
Practice Address - Street 2:STE F
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447
Practice Address - Country:US
Practice Address - Phone:985-845-3211
Practice Address - Fax:985-845-2895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA43511223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty