DR. STAINSLAUS JEAN WAGUESPACK (NPI# 1225254618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225254618 |
| Entity Type | Individual |
| Full Name | DR. STAINSLAUS JEAN WAGUESPACK |
| Credential | D.D.S. |
| Practice Address |
301 Rue Beauregard Lafayette LA 70508-8520 |
| Practice Telephone | 3372333677 |
| Mailing Telephone | 3372333677 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
5218 | LA | Dental Providers |
| Street Address |
301 RUE BEAUREGARD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-8520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821433087 | Orthopaedic Reconstructive Sub-specialists, LLC | Clinic/Center | 301 Rue Beauregard, Suite C, Lafayette, LA 70508-8520 | 2013-05-01 |
| 1326285362 | Noel Peter Dragon Jr. | Dentist | 301 Rue Beauregard, Lafayette, LA 70508-8520 | 2009-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811323751 | Stephen Powell | Dentist | 2501 Cason St, Lafayette, IN 47904-2806 | 2013-09-24 |
| 1497027239 | Brian Carl Leypoldt | Dentist | 110 Old Laramie Trl # 105, Lafayette, CO 80026-7010 | 2012-02-08 |
| 1013173418 | Jon Ester Sammann | Dentist | 895 Moraga Rd Ste 9, Lafayette, CA 94549-5046 | 2008-08-05 |
| 1629292602 | George Reyes Catambay | Dentist | 949 Oakview Circle, Lafayette, CA 94549 | 2007-04-12 |
| 1578687133 | Thomas O. Burns | Dentist | 1209 Winthrop Ave, Lafayette, IN 47909-2420 | 2007-03-19 |
| 1790818524 | Richard H Maness | Dentist | 202 Feu Follet Rd, Lafayette, LA 70508 | 2007-03-13 |
| 1154486579 | Donald B. Balhoff | Dentist | 3909-e Ambassador Caffery Pkwy., Lafayette, LA 70503-5236 | 2006-12-26 |
| 1235206541 | John Creighter Daire | Dentist | 858 Kaliste Saloom Rd, A, Lafayette, LA 70508 | 2006-11-29 |
| 1134217755 | Guthrie Poorman Carr | Dentist | 4900 Us 231 South, Lafayette, IN 47909-3443 | 2006-10-10 |
| 1720186687 | Stephen E Searcy | Dentist | 3839 W Congress St, Ste B, Lafayette, LA 70506-6000 | 2006-09-21 |
| Find all providers in LAFAYETTE | ||||
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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.