LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE (NPI# 1295837326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295837326 |
| Entity Type | Organization |
| Organization Name | LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE |
| Other Organization Name | STATE INSTITUTION |
| Practice Address |
3800 Houma Blvd Suite 305 Metairie LA 70006 |
| Practice Telephone | 5048899893 |
| Practice Fax Number | 5048899895 |
| Mailing Telephone | 5048899893 |
| Mailing Fax Number | 5048899895 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SYLVIA D MORPHY (PRACTICE MANAGER) |
| Authorized Official Telephone | 5048899893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1880213 | 05 |
| Other Name | Type Code |
|---|---|
| State Institution | Other Name - Individual/Organization |
| 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 |
| 1154543288 | Lsu Health Sciences Center Lsu Faculty Dental Practice | Dentist | 1100 Florida Ave, Box 131, New Orleans, LA 70119-2714 | 2007-05-02 |
| Street Address |
3800 HOUMA BLVD SUITE 305 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731354 | East Bank Gastroenterology LLC | Internal Medicine | 3800 Houma Blvd, Ste 220, Metairie, LA 70006-4151 | 2005-06-23 |
| 1053738757 | Susan Tortorich | Nurse Practitioner | 3800 Houma Blvd, Ste 335, Metairie, LA 70006-4182 | 2014-03-20 |
| 1871833566 | Daphne J Dureau | Nurse Practitioner | 3800 Houma Blvd, Suite345, Metairie, LA 70006-4182 | 2013-02-18 |
| 1275808529 | James Norman Mansfield Iv | Internal Medicine | 3800 Houma Blvd, Ste. 325, Metairie, LA 70006-4182 | 2012-03-20 |
| 1780974774 | Frank Jefferson Williams Jr. | Psychiatry & Neurology | 3800 Houma Blvd, Ste 205, Metairie, LA 70006-4151 | 2011-04-12 |
| 1205156254 | David Levy | Registered Nurse | 3800 Houma Blvd, Ste 325, Metairie, LA 70006-4182 | 2010-06-01 |
| 1528203577 | Elizabeth Mcdonald, Md Apmc | Internal Medicine | 3800 Houma Blvd, Suite 308, Metairie, LA 70006-4184 | 2008-12-04 |
| 1942453865 | Joseph Sampognaro IIi | Internal Medicine | 3800 Houma Blvd, Suite 230, Metairie, LA 70006-4182 | 2008-10-23 |
| 1780837609 | Frank J Monte, Md | Internal Medicine | 3800 Houma Blvd, Suite 230, Metairie, LA 70006-4182 | 2008-10-23 |
| 1184887705 | Rhonda Lyn Fleishmann | Nurse Practitioner | 3800 Houma Blvd, Suite 325, Metairie, LA 70006-4182 | 2008-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902960677 | Edward Joseph Boos | Oral & Maxillofacial Surgery | 3100 Galleria Dr Ste 202, Metairie, LA 70001-2196 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932414851 | Michael D. Daigle Dds Apc | Oral & Maxillofacial Surgery | 100 Melissa Ln, Houma, LA 70360-4058 | 2010-08-16 |
| 1598927196 | Ashraf R Heram | Oral & Maxillofacial Surgery | 1100 Florida Ave # 220, New Orleans, LA 70119-2714 | 2008-06-26 |
| 1194996637 | Richard Tipery Akin | Oral & Maxillofacial Surgery | 614 Connells Park Ln, Baton Rouge, LA 70806-6534 | 2008-03-12 |
| 1114121639 | Hugo St Hilaire | Oral & Maxillofacial Surgery | 2820 Napoleon Ave Ste 810, New Orleans, LA 70115-8235 | 2007-06-11 |
| 1477630515 | Richard Tipery Akin Dds Md Apc | Oral & Maxillofacial Surgery | 614 Connells Park Lane, Baton Rouge, LA 70806 | 2006-11-01 |
| 1033292008 | Michael Delano Daigle | Oral & Maxillofacial Surgery | 100 Melissa Lane, Houma, LA 70360 | 2006-10-23 |
| 1942391362 | Frank W Harmon | Oral & Maxillofacial Surgery | 2120 Bert Kouns, Suite D, Shreveport, LA 71118 | 2006-09-28 |
| 1508877580 | Ronald B Marks | Oral & Maxillofacial Surgery | 1403 Peterman Drive, Alexandria, LA 71301 | 2006-08-11 |
| 1275513798 | Southpark Community Hospital | Oral & Maxillofacial Surgery | 314 Youngsville Hwy, Lafayette, LA 70508-4524 | 2006-01-19 |
| 1588641096 | Alexandria Oral Surgery Associates LLP | Oral & Maxillofacial Surgery | 1403 Peterman Dr, Alexandria, LA 71301-3433 | 2005-12-27 |
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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.