Provider Demographics
NPI:1104969286
Name:VERGES, TROY MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:TROY
Middle Name:MICHAEL
Last Name:VERGES
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 AVE. G
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:LA
Mailing Address - Zip Code:70444-2522
Mailing Address - Country:US
Mailing Address - Phone:985-229-3973
Mailing Address - Fax:
Practice Address - Street 1:103 SE CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:AMITE
Practice Address - State:LA
Practice Address - Zip Code:70422-2837
Practice Address - Country:US
Practice Address - Phone:985-286-4045
Practice Address - Fax:985-286-4047
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA50661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice