Dr. Kredenna Beverly
Pediatric Dentist
2314 Weymouth Dr. Ste. B
Baton Rouge
, Louisiana 70809-5207
Dr. Kredenna Beverly
Pediatric Dentist
2314 Weymouth Dr. Ste. B
Baton Rouge
, Louisiana 70809-5207
(202) 215-0435
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Kredenna Beverly
- 1113 Progress Rd
- Baton Rouge, LA
- Zip : 70807-3325
- Phone : (202) 215-0435
Second Address
- Dr. Kredenna Beverly
- 2314 Weymouth Dr. Ste. B
- Baton Rouge, LA
- Zip : 70809-5207
- Fax : (225) 926-4050
- Phone : (225) 926-4444
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FAQs
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What type of doctor is Dr. Kredenna Beverly
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Is Dr. Kredenna Beverly a sole practitioner?
Is Dr. Kredenna Beverly accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 13664 | MD |
| N | 1223P0221X | Pediatric Dentist | 5857 | LA |
National Provider Identifier
| NPI | 1023216546 |
|---|---|
| Provider Name | Dr. Kredenna Beverly |
| First Address | Baton Rouge, LA 70807-3325 |
| Second Address | Baton Rouge, LA 70809-5207 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2007 |
| Last Update Date | 10/07/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.