BETTY H ALTMAN (NPI# 1114145596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114145596 |
| Entity Type | Individual |
| Full Name | BETTY H ALTMAN |
| Credential | M.D. |
| Practice Address |
5760 Monticello Drive St Gabriel LA 70776 |
| Practice Telephone | 2256429676 |
| Practice Fax Number | 2256429676 |
| Mailing Telephone | 9855900443 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3642 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1836427 | 05 |
| Street Address |
5760 MONTICELLO DRIVE |
| City | ST GABRIEL |
| State | LA |
| Zip Code | 70776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861635443 | Maureen Coughlin | Social Worker | 5760 Monticello Drive, St Gabriel, LA 70776 | 2009-04-13 |
| 1295890408 | Luis O Campos | Social Worker | 5760 Monticello Drive, St Gabriel, LA 70776 | 2006-12-27 |
| 1093874000 | St Gabriel Health Clinic Inc | Family Medicine | 5760 Monticello Drive, St Gabriel, LA 70776 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225487101 | St Gabriel Health Clinic Inc | Clinic/Center | 5600 Monticello Dr, St Gabriel, LA 70776 | 2016-06-10 |
| 1821464587 | St Gabriel Health Clinic Inc | Clinic/Center | 5760 Monticello, St Gabriel, LA 70776 | 2015-08-18 |
| 1942575105 | Reginald Grace Sr. | Counselor | 6225 Plantation Dr., St. Gabriel, LA 70776 | 2012-03-20 |
| 1407185226 | Vonda Kay Gustin | Nurse Practitioner | 6295 Highway 74, St. Gabriel, LA 70776 | 2009-12-08 |
| 1912236738 | Cynthia Anne Park | Clinical Nurse Specialist | 6925 Highway 74, St. Gabriel, LA 70776 | 2009-12-08 |
| 1417147851 | Adolph Brooks Cronan Jr. | Family Medicine | River Road, Syngenta Corp, St Gabriel, LA 70776 | 2007-08-01 |
| 1215159272 | Pamela B. Ross | Nurse Practitioner | 7205 Hwy. 74, St. Gabriel, LA 70776 | 2007-05-02 |
| 1548310881 | George Elliott Inc | Pharmacy | 6150 Hwy 74, St Gabriel, LA 70776 | 2007-01-11 |
| 1790014512 | Johnny Francois Prejean Jr. | Internal Medicine | 6925 Highway 74, St. Gabriel, LA 70776 | 2009-12-08 |
| 1194996025 | Iberville Elem School Base Health Clinic | Clinic/Center | 5760 Monticello Dr, St Gabriel, LA 70776 | 2008-03-19 |
| Find all providers in zip 70776 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322925 | E Edward Hood Jr, Dds - Livingston, Pllc | Dentist | 29160 S Frost Rd, Livingston, LA 70754-2620 | 2020-10-05 |
| 1962029934 | Abisola Jegede | Dentist | 3411 Nelson Rd Ste 100, Lake Charles, LA 70605-1240 | 2020-06-25 |
| 1932724572 | Jason Allen Simms | Dentist | 5480 Sleepy Hollow Dr, Baton Rouge, LA 70817-2142 | 2020-06-09 |
| 1659995413 | Tami Thuy Nguyen | Dentist | 5220 Lapalco Blvd, Marrero, LA 70072-4248 | 2020-06-07 |
| 1306460001 | Bfd Madisonville Associates LLC | Dentist | 109 Pine Creek Drive, Suite B, Madisonville, LA 70447 | 2020-05-29 |
| 1891317491 | Hood Dental Care | Dentist | 32871 La Highway 16, Denham Springs, LA 70706-0960 | 2020-05-18 |
| 1609415561 | Jacob Dent, D.d.s., Dentists of Mandeville, A Professional Corporation | Dentist | 3421 E Causeway Approach Ste A, Mandeville, LA 70448-3447 | 2019-12-24 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1366004186 | Hunter Brooks | Dentist | 107 Suwanee Rd, Lafayette, LA 70503-6111 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
| City | ST GABRIEL |
| Zip Code | 70776 |
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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.