Provider Demographics
NPI:1356596456
Name:TURNER, EARL EDWIN JR (DDS)
Entity type:Individual
Prefix:DR
First Name:EARL
Middle Name:EDWIN
Last Name:TURNER
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 1:7431 RIENZI BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1121
Mailing Address - Country:US
Mailing Address - Phone:225-928-0056
Mailing Address - Fax:225-928-0491
Practice Address - Street 1:7431 RIENZI BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1121
Practice Address - Country:US
Practice Address - Phone:225-928-0056
Practice Address - Fax:225-928-0491
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA18651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice