DR. CHARLES JAMES ARDOIN II (NPI# 1174612998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174612998 |
| Entity Type | Individual |
| Full Name | DR. CHARLES JAMES ARDOIN II |
| Credential | DDS |
| Practice Address |
4985 Highway 27 S Sulphur LA 70665-7571 |
| Practice Telephone | 3375832756 |
| Practice Fax Number | 3375839031 |
| Mailing Telephone | 3375832756 |
| Mailing Fax Number | 3375839031 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4041 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1840416 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972635274 | Charles Douglas Ardoin II | Family Medicine | 1635 North Loop W, Administration, Houston, TX 77008-1532 | 2007-03-12 |
| Street Address |
4985 HIGHWAY 27 S |
| City | SULPHUR |
| State | LA |
| Zip Code | 70665-7571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043706252 | Lake Area Dentistry-carlyss | Clinic/Center | 4985 Highway 27 S, Sulphur, LA 70665-7571 | 2018-07-11 |
| 1982060661 | Charles J Ardoin II, Dds, LLC | Clinic/Center | 4985 Highway 27 S, Sulphur, LA 70665-7571 | 2016-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588182489 | Chance Michael Arceneaux | Nurse Practitioner | 2492 South Cities Service Hwy Suite 1, Sulphur, LA 70665 | 2017-08-31 |
| 1669012423 | Tiffany Kathleen Gibbs | Nurse Practitioner | 2492 S Cities Service Hwy Ste 1, Sulphur, LA 70665-6497 | 2020-01-09 |
| 1972642668 | Thomas W. Moran | Physician Assistant | 2492 S Cities Service Hwy, Suite 1, Sulphur, LA 70665-6497 | 2007-02-06 |
| 1104172154 | Louisiana Occupational Medicine and Safety Institute | Clinic/Center | 2492 S Cities Service Hwy, Suite 2, Sulphur, LA 70665-6497 | 2012-07-27 |
| 1497225825 | Ashleigh Clark | Advanced Practice Midwife | 333 Leawood Ave, Sulphur, LA 70665-7030 | 2018-11-28 |
| 1467760009 | James Dant Hughes | Physical Therapist | 3550 Carlyss Dr, Sulphur, LA 70665-7203 | 2010-09-16 |
| 1558726430 | Frankie Reed | Counselor | 564 Edson St, Sulphur, LA 70665-7430 | 2015-12-21 |
| 1902432453 | Jennifer Cook | Behavioral Analyst | 2516 Riley St, Sulphur, LA 70665-7550 | 2020-03-17 |
| 1063041770 | Jc Center | Behavioral Analyst | 2516 Riley St, Sulphur, LA 70665-7550 | 2020-04-04 |
| 1770126609 | Jonathon Kasey Hardy | Physician Assistant | 1125 Point Rd, Sulphur, LA 70665-7693 | 2019-10-23 |
| Find all providers in zip 70665 | ||||
| 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 |
| 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 |
| 1851765556 | Lynn Family Dentistry | Dentist | 3107 Maplewood Dr, Sulphur, LA 70663-6201 | 2015-11-18 |
| 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.