Provider Demographics
NPI:1750197802
Name:TYCE HEBERT DDS LLC
Entity type:Organization
Organization Name:TYCE HEBERT DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TYCE
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:HEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:504-321-3636
Mailing Address - Street 1:3525 PRYTANIA ST STE 312
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-8134
Mailing Address - Country:US
Mailing Address - Phone:504-321-3636
Mailing Address - Fax:504-208-4646
Practice Address - Street 1:3525 PRYTANIA ST STE 312
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-8134
Practice Address - Country:US
Practice Address - Phone:504-321-3636
Practice Address - Fax:504-208-4646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty