Provider Demographics
NPI:1285153478
Name:WILLIAM S DARR DDS APDC
Entity type:Organization
Organization Name:WILLIAM S DARR DDS APDC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:DARR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:337-837-3117
Mailing Address - Street 1:107 S MORGAN AVE
Mailing Address - Street 2:
Mailing Address - City:BROUSSARD
Mailing Address - State:LA
Mailing Address - Zip Code:70518-4540
Mailing Address - Country:US
Mailing Address - Phone:337-837-3117
Mailing Address - Fax:337-837-5795
Practice Address - Street 1:107 S MORGAN AVE
Practice Address - Street 2:
Practice Address - City:BROUSSARD
Practice Address - State:LA
Practice Address - Zip Code:70518-4540
Practice Address - Country:US
Practice Address - Phone:337-837-3117
Practice Address - Fax:337-837-5795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment