Provider Demographics
NPI:1881856862
Name:BABIN, STEPHEN FERNAND JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:FERNAND
Last Name:BABIN
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4508 CLEARVIEW PKWY
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2379
Mailing Address - Country:US
Mailing Address - Phone:504-454-7008
Mailing Address - Fax:504-456-7308
Practice Address - Street 1:4508 CLEARVIEW PKWY
Practice Address - Street 2:SUITE 1A
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2379
Practice Address - Country:US
Practice Address - Phone:504-454-7008
Practice Address - Fax:504-456-7308
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5902122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist