Provider Demographics
NPI:1790834497
Name:ARMAND DENTAL INC.
Entity Type:Organization
Organization Name:ARMAND DENTAL INC.
Other - Org Name:FAMILY DENTAL CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:318-388-4411
Mailing Address - Street 1:2805 ARMAND ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3751
Mailing Address - Country:US
Mailing Address - Phone:318-388-4411
Mailing Address - Fax:318-388-2513
Practice Address - Street 1:2805 ARMAND ST
Practice Address - Street 2:SUITE A
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-3751
Practice Address - Country:US
Practice Address - Phone:318-388-4411
Practice Address - Fax:318-388-2513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA44841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3974Other1223G0001X DENTIST GENERA