Provider Demographics
NPI:1194322925
Name:E EDWARD HOOD JR, DDS - LIVINGSTON, PLLC
Entity type:Organization
Organization Name:E EDWARD HOOD JR, DDS - LIVINGSTON, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:W
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-667-0037
Mailing Address - Street 1:140 VETERANS BLVD
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-5100
Mailing Address - Country:US
Mailing Address - Phone:225-667-0037
Mailing Address - Fax:225-667-0038
Practice Address - Street 1:29160 S FROST RD
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:LA
Practice Address - Zip Code:70754-2620
Practice Address - Country:US
Practice Address - Phone:225-667-0037
Practice Address - Fax:225-667-0038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1760831226OtherDENTAL
LA1073041018OtherDENTAL
LA1700366374OtherDENTAL
LA1073722419OtherDENTAL
LA1710247689OtherDENTAL
LA1780767426OtherDENTAL