Provider Demographics
NPI:1770235731
Name:BATON ROUGE DENTAL SPECIALISTS
Entity Type:Organization
Organization Name:BATON ROUGE DENTAL SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAESAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEIDAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:985-778-0241
Mailing Address - Street 1:10723 N OAK HILLS PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-2968
Mailing Address - Country:US
Mailing Address - Phone:225-769-1444
Mailing Address - Fax:
Practice Address - Street 1:10723 N OAK HILLS PKWY STE B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-2968
Practice Address - Country:US
Practice Address - Phone:225-769-1444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty