DR. VINTAGE LEIGH LEBLANC (NPI# 1336201417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336201417 |
| Entity Type | Individual |
| Full Name | DR. VINTAGE LEIGH LEBLANC |
| Other Name | DR. VINTAGE LEIGH DELAHOUSSAYE |
| Credential | DDS |
| Practice Address |
1144 Coolidge Blvd Ste A Lafayette LA 70503 |
| Mailing Address |
1022 Basin Stone Dr Breaux Bridge LA 70517 |
| Practice Telephone | 3372348788 |
| Practice Fax Number | 3372565150 |
| Mailing Telephone | 3377393396 |
| Mailing Fax Number | 3372565150 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2018-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5523 | LA | Dental Providers |
| Street Address |
1144 COOLIDGE BLVD STE A |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801820790 | Robert Burton Bode | Dentist | 1144 Coolidge Blvd Ste A, Lafayette, LA 70503-2622 | 2006-07-10 |
| 1407364730 | Vintage L Delahoussaye Dds Apdc | Clinic/Center | 1144 Coolidge Blvd Ste A, Lafayette, LA 70503-2622 | 2018-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
| 1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| Find all providers in zip 70503 | ||||
| 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 |
|---|---|---|---|---|
| 1518519883 | Indian Peaks Dental PC | Dentist | 1319 W Baseline Rd Ste 200, Lafayette, CO 80026-9308 | 2019-07-16 |
| 1609430156 | Guido Family Dentistry | Dentist | 150 Professional Ct Ste B, Lafayette, IN 47905-5153 | 2019-04-30 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1053802801 | Jessica Reed Neu | Dentist | 5540 Johnston St, Lafayette, LA 70503-5138 | 2018-05-27 |
| 1285142026 | Lafayette Westend Dental LLC | Dentist | 311 Sagamore Pkwy N Ste 2, Lafayette, IN 47904-2800 | 2018-01-15 |
| 1649787649 | Erin A. Fontenot D.d.s., L.L.C. | Dentist | 1105 S College Rd Ste B, Lafayette, LA 70503-3067 | 2017-12-29 |
| 1841716602 | Bryan Patrick Villescas | Dentist | 1255 Cimarron Dr Ste 101, Lafayette, CO 80026-1282 | 2017-08-14 |
| 1518418680 | Dental Professionals of Indiana, PC | Dentist | 2000 Veterans Memorial Parkway S, Lafayette, IN 47909 | 2016-10-24 |
| 1457715062 | Jesus Loza Salinas | Dentist | 1345 Plaza Ct N Ste 1a, Lafayette, CO 80026-2832 | 2016-04-09 |
| 1598147712 | Kathleen Adley Darnall | Dentist | 185 S. Beadle Rd., Lafayette, LA 70508 | 2015-06-24 |
| 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.