DR. CHESTER LEE ELLENDER (NPI# 1003949678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003949678 |
Entity Type | Individual |
Full Name | DR. CHESTER LEE ELLENDER |
Other Name | DR. CHET L. ELLENDER |
Credential | DDS |
Practice Address |
910 1st Ave Suite A Sulphur LA 70663-3425 |
Practice Telephone | 3375276751 |
Practice Fax Number | 3375276751 |
Mailing Telephone | 3375276751 |
Mailing Fax Number | 3375276751 |
Enumeration Date | 2007-03-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
2641 | LA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1826413 | 05 |
Street Address |
910 1ST AVE SUITE A |
City | SULPHUR |
State | LA |
Zip Code | 70663-3425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326171901 | Drs Ellender and Ellender A Professional Dental Corporation | Dentist | 910 1st Ave, Suite A, Sulphur, LA 70663-3425 | 2007-03-13 |
1063545614 | Judith Diane Ellender | Dentist | 910 1st Ave, Suite A, Sulphur, LA 70663-3425 | 2007-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457822751 | Imperial Calcasieu Human Services Authority | Clinic/Center | 2651 E Napoleon St, Sulphur, LA 70663 | 2018-12-12 |
1083134670 | Leah Lowe | Nurse Practitioner | 1019 Mathew St., Sulphur, LA 70663 | 2017-06-23 |
1972037166 | Collins Orthopaedics LLC | Orthopaedic Surgery | 250 S Beglis Parkway, Ste 3, Sulphur, LA 70663 | 2017-04-14 |
1699219238 | Charles Miah Smith | Family Medicine | 231 W Houston River Rd., Sulphur, LA 70663 | 2016-12-16 |
1598213357 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 1000 Beglis Pkwy, Sulphur, LA 70663 | 2016-09-21 |
1992129019 | Healthscripts of America-southwest Louisiana,llc | Pharmacy | 1575 Maplewood Drive, Suite A, Sulphur, LA 70663 | 2014-02-10 |
1679900476 | Evergreen Presbyterian Ministries, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2108 Division Street, Sulphur, LA 70663 | 2013-10-11 |
1295065241 | Journey Behavioral Health, LLC | Psychologist | 423 Cypress St., Sulphur, LA 70663 | 2010-01-13 |
1558513754 | C H Wilkinson Physician Network | Nurse Practitioner | 525 North City Service Hwy, Sulphur, LA 70663 | 2008-10-21 |
1689853343 | Stelly Physical &occupational Therapy | Occupational Therapist | 946 Beglis Parkway, Sulphur, LA 70663 | 2007-10-30 |
Find all providers in zip 70663 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386845063 | James M. Fontenot Dds and Barbara D. Fontenot Dds (a Professional Cor) | Dentist | 619 Cypress St, Sulphur, LA 70663-5051 | 2007-05-30 |
1427107887 | Gary Joseph Blanchette | Dentist | 2920 Maplewood Dr, Sulphur, LA 70663-6114 | 2007-01-08 |
1851476923 | Rodney Rentrop Jr. | Dentist | 210 N Cities Service Hwy, Sulphur, LA 70663 | 2006-10-26 |
1174612998 | Charles James Ardoin II | Dentist | 4985 Highway 27 S, Sulphur, LA 70665-7571 | 2006-10-12 |
1073602322 | Gary Kyle Slaven | Dentist | 1215 S Post Oak Rd, Suite 7, Sulphur, LA 70663-5200 | 2006-10-12 |
1215023445 | Richard James Martin | Dentist | 1621 Beglis Pkwy, Sulphur, LA 70663-5906 | 2006-10-05 |
1699782896 | Dean L Manning | Dentist | 1910 Maplewood Dr, Sulphur, LA 70663 | 2006-08-01 |
1679516553 | Margaret A Coker | Dentist | 1808 W Broadway Ave, Sulphur, OK 73086-4246 | 2006-06-14 |
1558353037 | Elbert A. Franklin | Dentist | 925 W Broadway Ave, Sulphur, OK 73086-4409 | 2005-08-19 |
1619594868 | Nathan John Pulsipher | Dentist | 2611 W Broadway Ave, Sulphur, OK 73086-6518 | 2020-07-02 |
Find all providers in SULPHUR |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.