DR. KEITH JOSEPH FABRE JR. (NPI# 1043454341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043454341 |
| Entity Type | Individual |
| Full Name | DR. KEITH JOSEPH FABRE JR. |
| Credential | D.D.S. |
| Practice Address |
2665 Barataria Blvd Marrero LA 70072 |
| Mailing Address |
P.o. Box 5958 Metairie LA 70009-6110 |
| Practice Telephone | 5043484232 |
| Practice Fax Number | 5043488094 |
| Mailing Telephone | 5044555864 |
| Mailing Fax Number | 5044555867 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2018-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 5874 | LA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5874 | LA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3133 Edenborn Ave., Metairie, LA 700026405 | 5044555864 | 5044555867 |
| Street Address |
2665 BARATARIA BLVD |
| City | MARRERO |
| State | LA |
| Zip Code | 70072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174583041 | William Joseph Carlisle IIi | Dentist | 2665 Barataria Blvd, Marrero, LA 70072-5609 | 2006-03-24 |
| 1538646997 | Fabre Family Dental Care of Metairie, L.l.c | Dentist | 2665 Barataria Blvd, Marrero, LA 70072-5609 | 2018-07-27 |
| 1457846461 | Fabre Family Dental Care of Marrero | Dentist | 2665 Barataria Blvd, Marrero, LA 70072 | 2018-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| 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 |
|---|---|---|---|---|
| 1083142897 | Angel Haley Sylve | Dentist | 2724 Ascension Ct, Marrero, LA 70072-6090 | 2017-05-24 |
| 1881957421 | Jacob Charles Mcinnis | Dentist | 2521 Ames Blvd, Ste. C, Marrero, LA 70072-5155 | 2012-06-19 |
| 1336426097 | Southern Dental Care, Inc | Dentist | 7301 Westbank Expressway, Marrero, LA 70072 | 2011-11-09 |
| 1871703082 | Kingsly Dewey White | Dentist | 7301 Westbank Expy, Marrero, LA 70072-2448 | 2007-05-23 |
| 1750591277 | Paul Henry Ragas | Dentist | 2100 Barataria Blvd, Marrero, LA 70072-5019 | 2007-05-23 |
| 1255454096 | Charles Roberson Morice Sr. | Dentist | 7535 West Bank Expy, Marrero, LA 70072 | 2007-04-09 |
| 1215053558 | Darrell P Bourg Jr. | Dentist | 2521 Ames Blvd., Ste. C, Marrero, LA 70072-5154 | 2007-03-21 |
| 1316073786 | John B Gennaro | Dentist | 828 Avenue G, Marrero, LA 70072-1830 | 2007-02-27 |
| 1659425064 | Carroll John Landry Jr. | Dentist | 5421 Lapalco Blvd, Suite H, Marrero, LA 70072-4152 | 2007-01-22 |
| 1275683781 | Aubrey L Baudean Jr. | Dentist | 2446 Barataria Blvd Ste C, Marrero, LA 70072-5356 | 2007-01-10 |
| Find all providers in MARRERO | ||||
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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.