Provider Demographics
NPI:1639637739
Name:CURTIS JOHN ZERINGUE, D.D.S, APDC
Entity Type:Organization
Organization Name:CURTIS JOHN ZERINGUE, D.D.S, APDC
Other - Org Name:BAYOU DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ZERINGUE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:985-532-3364
Mailing Address - Street 1:PO BOX E
Mailing Address - Street 2:
Mailing Address - City:MATHEWS
Mailing Address - State:LA
Mailing Address - Zip Code:70375-0429
Mailing Address - Country:US
Mailing Address - Phone:985-532-3364
Mailing Address - Fax:
Practice Address - Street 1:109 JOHNNY DUFRENE DR
Practice Address - Street 2:
Practice Address - City:RACELAND
Practice Address - State:LA
Practice Address - Zip Code:70394-2611
Practice Address - Country:US
Practice Address - Phone:985-532-3364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1497839880OtherINDIVIDUAL NPI