Provider Demographics
NPI:1902545916
Name:KARLNELIUS DUHON DDS LLC
Entity Type:Organization
Organization Name:KARLNELIUS DUHON DDS LLC
Other - Org Name:DUHON FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARLNELIUS
Authorized Official - Middle Name:ISAIAH
Authorized Official - Last Name:DUHON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:337-794-5235
Mailing Address - Street 1:3829 RYAN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605-2815
Mailing Address - Country:US
Mailing Address - Phone:337-221-0072
Mailing Address - Fax:337-221-0072
Practice Address - Street 1:3829 RYAN ST STE 200
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605-2815
Practice Address - Country:US
Practice Address - Phone:337-221-0072
Practice Address - Fax:337-221-0072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-31
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty