Provider Demographics
NPI:1205973518
Name:HEBERT, CATHERINE ANNE (DDS)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ANNE
Last Name:HEBERT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4600 HIGHWAY 22
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-2891
Mailing Address - Country:US
Mailing Address - Phone:985-626-0111
Mailing Address - Fax:985-626-0164
Practice Address - Street 1:4600 HIGHWAY 22
Practice Address - Street 2:SUITE 4
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-2891
Practice Address - Country:US
Practice Address - Phone:985-626-0111
Practice Address - Fax:985-626-0164
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA36301223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics