BARKSDALE DENTISTRY LLC (NPI# 1174901722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174901722 |
| Entity Type | Organization |
| Organization Name | BARKSDALE DENTISTRY LLC |
| Practice Address |
12045 Coursey Blvd Baton Rouge LA 70816-4478 |
| Practice Telephone | 2252928783 |
| Practice Fax Number | 2252928030 |
| Mailing Telephone | 2252928783 |
| Mailing Fax Number | 2252928030 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |
| Authorized Official Name | DR. JOHN MONROE BARKSDALE (OWNER) |
| Authorized Official Telephone | 2252928783 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
2681 | LA | Ambulatory Health Care Facilities |
| Street Address |
12045 COURSEY BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-4478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699966002 | John M Barksdale Jr. | Dentist | 12045 Coursey Blvd, Suite B, Baton Rouge, LA 70816 | 2007-08-09 |
| 1821407784 | Matthew D George | Dentist | 12045 Coursey Blvd, Baton Rouge, LA 70816-4478 | 2014-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689171076 | Premier Mobile Dentistry of Va LLC | Clinic/Center | 6224 Province Ln, Baton Rouge, LA 70808-3574 | 2018-04-11 |
| 1700314325 | Courtney P. Jones, Dds, Apdc | Clinic/Center | 4802 Jones Creek Rd Ste D, Baton Rouge, LA 70817-1527 | 2017-05-26 |
| 1144617150 | Jacob Francis Henderson Dds LLC | Clinic/Center | 11424 Sullivan Rd Bldg B, Ste A, Baton Rouge, LA 70818-3615 | 2015-04-17 |
| 1578904827 | Doctors Dental 05, LLC | Clinic/Center | 7278 Highland Rd, Suite C, Baton Rouge, LA 70808-6607 | 2013-07-16 |
| 1932490208 | Maxillofacial Imaging of Baton Rouge, LLC | Clinic/Center | 7967 Office Park Blvd, Baton Rouge, LA 70809-7646 | 2011-04-21 |
| 1699910869 | Fallin and Fallin Family Dentistry Coursey, LLC | Clinic/Center | 13707 Coursey Blvd, #a, Baton Rouge, LA 70817-1306 | 2008-12-02 |
| 1205034493 | Professional Dental Partners | Clinic/Center | 641 E Airport Ave Ste A, Baton Rouge, LA 70806-6545 | 2007-07-10 |
| 1134132459 | Bruns Family Dental Center LLC | Clinic/Center | 6860 Bluebonnet Blvd Ste B, Baton Rouge, LA 70810-1615 | 2006-08-15 |
| 1790390888 | Pearl Dental Group LLC | Clinic/Center | 4450 Bluebonnet Blvd Ste C, Baton Rouge, LA 70809-9649 | 2020-09-15 |
| 1497391841 | Theriot Family Dental Care-perkins LLC | Clinic/Center | 1930 Perkins Rd, Baton Rouge, LA 70808-1483 | 2019-11-20 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70816 |
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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.