BAYOU SMILES CENTER (NPI# 1154667210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154667210 |
| Entity Type | Organization |
| Organization Name | BAYOU SMILES CENTER |
| Practice Address |
1205 Victor II Blvd Morgan City LA 70380 |
| Practice Telephone | 3373671721 |
| Practice Fax Number | 3373655137 |
| Mailing Telephone | 3373671271 |
| Mailing Fax Number | 3373655137 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2013-01-15 |
| Authorized Official Name | DR. JOSEPH P BRAUD JR. (OWNER) |
| Authorized Official Telephone | 3373671271 |
| Authorized Official Credential | MSPH, DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
6019 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1860191 | 05 |
| Street Address |
1205 VICTOR II BLVD |
| City | MORGAN CITY |
| State | LA |
| Zip Code | 70380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625486 | Aubree Elizabeth-grace Underwood | Counselor | Fairview Treatment Center, 1101 Southeast Blvd, Morgan City, LA 70380 | 2019-12-02 |
| 1235609827 | Lori Billiot | Counselor | 434 Lagonda Rd, Morgan City, LA 70380 | 2018-11-27 |
| 1942720255 | Landon Robinson | Non-emergency Medical Transport (VAN) | 1200 Victor II Blvd Suite 500, Morgan City, LA 70380 | 2017-06-27 |
| 1588198212 | Marcia Ann Blereau | Nurse Practitioner | 1122 8th St, Morgan City, LA 70380 | 2017-04-19 |
| 1316312119 | Daniel Lebeouf | Pharmacist | 1002 La-70, Morgan City, LA 70380 | 2015-12-04 |
| 1265788707 | Hpc Biologicals Inc | Pharmacy | 1234 David Dr Ste A, Morgan City, LA 70380 | 2012-08-02 |
| 1376824102 | Don Monroe Ryan | Pharmacist | 1301 Highway 90 East, Morgan City, LA 70380 | 2011-09-07 |
| 1235449067 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1216 Victor II Blvd, Ste 300, Morgan City, LA 70380 | 2010-10-14 |
| 1659600989 | Walter H. Daniels, M.d. A Professional Medical Corp. | Family Medicine | 1300 Lakewood Drive, Suite G, Morgan City, LA 70380 | 2009-12-16 |
| 1730417320 | Teche Internal Medicine Clinic LLC | Internal Medicine | 1125 Marguerite Street, Morgan City, LA 70380 | 2009-11-20 |
| Find all providers in zip 70380 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455401 | Grace Elizabeth Beck Coburn | Dentist | 3100 Galleria, Suite 206, Metairie, LA 70001 | 2020-04-07 |
| 1326686866 | Acadiana Endodontics | Dentist | 4906 Ambassador Caffery Pkwy Bldg O, Lafayette, LA 70508-6962 | 2019-12-16 |
| 1013497262 | Crescent City Endodontics | Dentist | 250 Ochsner Blvd Ste 200, Gretna, LA 70056-5257 | 2018-08-17 |
| 1700239498 | Vincent Dicarlo II | Dentist | 9804 Bluebonnet Blvd Ste B, Baton Rouge, LA 70810-6479 | 2016-07-18 |
| 1114359346 | Regine Dyer | Dentist | 1317 Lake Ave Apt C213, Metairie, LA 70005-5907 | 2013-07-30 |
| 1356603963 | Chelsea Patricia Accardo | Dentist | 605 N Carrollton Ave, New Orleans, LA 70119-4743 | 2012-06-10 |
| 1013295815 | David M. Vieth Dds, A Professional Corporation | Dentist | 9018 Mansfield Rd, Shreveport, LA 71118-2608 | 2011-07-27 |
| 1578858254 | David M. Vieth Dds, A Professional Corporation | Dentist | 2222 Clearview Pkwy, Suite 1, Metairie, LA 70001-2437 | 2011-06-10 |
| 1295028751 | Michelle B Speier | Dentist | 11906 Lake Estates Ave, Baton Rouge, LA 70810-7320 | 2011-05-17 |
| 1861790461 | Joseph Pierce Braud Jr. | Dentist | 603 Rue De Lion, New Iberia, LA 70563-2114 | 2011-03-05 |
| Find all providers with the same taxonomy | ||||
| City | MORGAN CITY |
| Zip Code | 70380 |
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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.