LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE (NPI# 1154543288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154543288 |
| Entity Type | Organization |
| Organization Name | LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE |
| Practice Address |
1100 Florida Ave Box 131 New Orleans LA 70119-2714 |
| Practice Telephone | 5046198721 |
| Practice Fax Number | 5049418001 |
| Mailing Telephone | 5046198721 |
| Mailing Fax Number | 5049418001 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-07-23 |
| Authorized Official Name | MRS. SUE H. SPEEGLE (PRACTICE MANAGER) |
| Authorized Official Telephone | 5049418119 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
5003 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS | A8122 | 01 |
| LA | 1952702 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528280641 | Lsu Health Sciences Center Lsu Faculty Dental Practice | Dentist | 3800 Houma Blvd, Suite 305, Metairie, LA 70006-4182 | 2007-05-02 |
| 1295837326 | Lsu Health Sciences Center Lsu Faculty Dental Practice | Oral & Maxillofacial Surgery | 3800 Houma Blvd, Suite 305, Metairie, LA 70006 | 2006-09-01 |
| Street Address |
1100 FLORIDA AVE BOX 131 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70119-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003881905 | Nicholas John Miniotis | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2714 | 2006-02-22 |
| 1619583788 | Emily Guarisco | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-09-23 |
| 1457965592 | Ammar Shawar | Student in an Organized Health Care Education/Training Program | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-09-05 |
| 1023626363 | Katherine Valeska Carmona Hernandez | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-07-22 |
| 1932727278 | Daphne Salazar | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-07-13 |
| 1336767870 | Caroline Cazayoux | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-07-10 |
| 1205450020 | Lauren Kate Langlois | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-06-08 |
| 1043832686 | Sarah Bruggers Odom | Physician Assistant | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-05-16 |
| 1114550076 | Stefania Balasa | Student in an Organized Health Care Education/Training Program | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-02-19 |
| 1790347185 | Eugene Irvin Rowell IIi | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2019-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1922626365 | Shanika Valcour-leduff | Nurse Practitioner | 535 S Galvez St., New Orleans, LA 70119 | 2020-07-13 |
| 1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
| 1205460235 | Lily Tran | Registered Nurse | 119 S Galvez Street, New Orleans, LA 70119 | 2020-02-28 |
| 1740823137 | Kaylyn Bernard | Case Manager/Care Coordinator | 2626 Canal St., New Orleans, LA 70119 | 2019-10-18 |
| 1114577954 | Alyssia Breion Smith | Case Manager/Care Coordinator | 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 | 2019-09-13 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1972008654 | Griffin Caballero Brown | Student in an Organized Health Care Education/Training Program | 520 Jefferson Davis Hwy, New Orleans, LA 70119 | 2018-03-26 |
| 1902300544 | Kyle Raymond Hoppens | Student in an Organized Health Care Education/Training Program | 4502 Saint Ann Street, New Orleans, LA 70119 | 2018-03-20 |
| Find all providers in zip 70119 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962681866 | Jim Christie Weir Jr. | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2714 | 2007-10-26 |
| 1508077710 | Ronald Francis Carr | Dentist | 1901 Perdido St, Meb - Pathology, New Orleans, LA 70112-1393 | 2007-05-28 |
| 1992835060 | Molly Susan Rosebush | Dentist | 1100 Florida Ave, New Orleans, LA 70119-2714 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386709285 | Edward Charles Massett Jr. | Dentist | 2334 Gause Blvd East, Slidell, LA 70461 | 2006-12-22 |
| 1932275245 | Thomas Olin Adams | Dentist | 4224 Houma Blvd Ste 224, Metairie, LA 70006-2935 | 2006-11-28 |
| 1851360960 | John Bruce Lowe | Dentist | 230 Carroll St, Suite 5, Shreveport, LA 71105-4248 | 2006-03-14 |
| 1457578239 | Oral Surgery Associates | Dentist | 2003 Forsythe Ave, Monroe, LA 71201-3608 | 2007-04-20 |
| 1396800553 | Edward J Boos Dds & Anthony Indovina Dds A PC | Dentist | 4224 Houma Blvd, Suite 670, Metairie, LA 70006-2933 | 2006-12-27 |
| 1114081890 | Leon Fournet | Dentist | 4224 Houma Blvd, Suite 670, Metairie, LA 70006-2933 | 2006-12-20 |
| 1386758936 | Paul M. Clark Jr. | Dentist | 2120 Bert Kouns Industrial Loop, Suite D, Shreveport, LA 71118-3351 | 2006-08-19 |
| 1740209139 | William A Couvillion | Dentist | 7341 Jefferson Hwy, Suite A, Baton Rouge, LA 70806-8203 | 2006-07-18 |
| City | NEW ORLEANS |
| Zip Code | 70119 |
Please comment or provide details below to improve the information on LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE.
| 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.