DEMARCUS D SMITH IV (NPI# 1306940556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306940556 |
| Entity Type | Individual |
| Full Name | DEMARCUS D SMITH IV |
| Credential | DDS |
| Practice Address |
4420 Conlin St Suite 203 Metairie LA 70006 |
| Practice Telephone | 5044559960 |
| Practice Fax Number | 5044559961 |
| Mailing Telephone | 5044559960 |
| Mailing Fax Number | 5044559961 |
| Enumeration Date | 2006-09-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3596 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1835960 | 05 |
| Street Address |
4420 CONLIN ST SUITE 203 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093790230 | Ana R De Aguiar | Pediatrics | 4420 Conlin St, #205, Metairie, LA 70006-2167 | 2005-12-09 |
| 1598123978 | Oral Surgery Services, LLC | Dentist | 4420 Conlin St, Suite 203, Metairie, LA 70006-2167 | 2016-02-01 |
| 1124441324 | Acadia Health, LLC | Dentist | 4420 Conlin St, Suite 201, Metairie, LA 70006-2167 | 2014-01-24 |
| 1417256165 | Dennis Joseph Booth | Dentist | 4420 Conlin St, Suite 202, Metairie, LA 70006-2167 | 2011-03-21 |
| 1518093681 | Joseph Paul Simone II | Dentist | 4420 Conlin St, Suite 204, Metairie, LA 70006-2167 | 2007-02-25 |
| 1366594756 | Beverly L Nugent | Counselor | 4420 Conlin St, Suite 201, Metairie, LA 70006-2167 | 2007-01-17 |
| 1184727505 | Paul J Walters | Dentist | 4420 Conlin St, Suite 203, Metairie, CA 70006 | 2006-09-07 |
| 1942246236 | Argimiro D. Lago | Pediatrics | 4420 Conlin St, Suite 205, Metairie, LA 70006-2167 | 2006-06-22 |
| 1740224963 | Vincent Anthony Culotta Jr. | Obstetrics & Gynecology | 4420 Conlin St, Suite 300, Metairie, LA 70006-2167 | 2006-06-16 |
| 1801854252 | Jose Luis Veras Pola | Family Medicine | 4420 Conlin St, Suite 301, Metairie, LA 70006-2167 | 2006-05-03 |
| Find all providers in the same location | ||||
| 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 | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598123978 | Oral Surgery Services, LLC | Dentist | 4420 Conlin St, Suite 203, Metairie, LA 70006-2167 | 2016-02-01 |
| 1619209939 | Daniel Marshall Cummins | Dentist | 4224 Houma Blvd, Suite 670, Metairie, LA 70006-2933 | 2010-02-11 |
| 1255507588 | Walter Charles Jackson | Dentist | 4051 Veterans Memorial Blvd, Suite 200, Metairie, LA 70002-5572 | 2008-05-06 |
| 1245312834 | Robert Edward Lane | Dentist | 4224 Houma Blvd, Suite 230, Metairie, LA 70006-2933 | 2006-10-20 |
| 1184727505 | Paul J Walters | Dentist | 4420 Conlin St, Suite 203, Metairie, CA 70006 | 2006-09-07 |
| 1902908031 | John N Kent Jr. | Dentist | 3800 Houma Blvd, Suite 305, Metairie, LA 70006-4182 | 2006-09-01 |
| 1720180854 | Michael S Block | Dentist | 110 Veterans Memorial Blvd, Ste 112, Metairie, LA 70005 | 2006-09-01 |
| 1639271760 | Jon D Perenack | Dentist | 3800 Houma Blvd, Ste 305, Metairie, LA 70006-4182 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1578089603 | Ardoin-kennedy LLC | Dentist | 203 A Energy Parkway, Lafayette, LA 70508 | 2017-08-21 |
| 1932583358 | Oral Surgery& Dental Implant Center of Louisiana | Dentist | 16206 Airline Hwy, Prairieville, LA 70769-4248 | 2015-07-15 |
| 1588078224 | Ricardo Lugo | Dentist | 1501 Kings Hwy Rm 530, Shreveport, LA 71103-4228 | 2014-06-19 |
| 1184059818 | Yasser Saad Alali | Dentist | 5243 Butter Creek, Unit H7, Baton Rouge, LA 70809-0603 | 2013-09-12 |
| 1679913222 | Nickolas Stanley Maskas | Dentist | 4720 Lake Street, Lake Charles, LA 70605 | 2013-06-27 |
| 1720354822 | John Ben Ragusa | Dentist | 16819 Cherry Bark Dr, Baton Rouge, LA 70810-5811 | 2012-03-22 |
| 1871882480 | Andrew Frederick Wetterlind | Dentist | 13730 Millerville Greens Blvd, Baton Rouge, LA 70816-1696 | 2011-04-04 |
| 1932415007 | Dr. David M. Vieth Dds, A Professional Corporation | Dentist | 91 Westbank Expy, Suite 345, Gretna, LA 70053-3615 | 2010-08-26 |
| 1871757187 | George Rawleigh Fisher | Dentist | 1624 Wolf Cir, Lake Charles, LA 70605 | 2008-07-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DEMARCUS D SMITH IV.
| 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.