SHANNON CANDID LOUISIANA, PROFESSIONAL CORPORATION (NPI# 1336756436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336756436 |
Entity Type | Organization |
Organization Name | SHANNON CANDID LOUISIANA, PROFESSIONAL CORPORATION |
Practice Address |
804 Main St Baton Rouge LA 70802-5528 |
Practice Telephone | 8604817631 |
Mailing Telephone | 8604817631 |
Enumeration Date | 2020-09-23 |
Last Update Date | 2020-09-23 |
Authorized Official Name | THOMAS SHANNON (DDS) |
Authorized Official Telephone | 8604817631 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
Street Address |
804 MAIN ST |
City | BATON ROUGE |
State | LA |
Zip Code | 70802-5528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881113801 | Mason D Ceasar | Counselor | 1520 Thomas H Delpit Dr Ste 219, Baton Rouge, LA 70802 | 2017-09-11 |
1508389800 | Arlette Henderson | Counselor | 4776 Adams Street, Baton Rouge, LA 70802 | 2017-07-19 |
1306375738 | Raven Turner | Social Worker | 1120 Spanish Town Rd, 108, Baton Rouge, LA 70802 | 2017-06-08 |
1528597176 | Maya Harvey | Case Manager/Care Coordinator | 1520 Thomas H Delpit, Baton Rouge, LA 70802 | 2017-06-07 |
1124554324 | Heart & Key Transportation, LLC | Non-emergency Medical Transport (VAN) | 1716 North 18th Street, Baton Rouge, LA 70802 | 2017-05-08 |
1730628769 | Abriel Hunter | Counselor | 3173 Washington Ave., Baton Rouge, LA 70802 | 2017-02-23 |
1528506284 | Brennan Manning | Counselor | 1520 Thomas Delpit St., Baton Rouge, LA 70802 | 2017-02-02 |
1124570163 | Ty Hightower | Counselor | 1520 Thomas Delpit, Baton Rouge, LA 70802 | 2016-10-25 |
1386190924 | Callesha Lashawn Young | Counselor | 1539 North 23rd Street, Baton Rouge, LA 70802 | 2016-09-01 |
1598118705 | Shenquie Jackson | Counselor | 1520 Thomas H Delpit Dr Ste 125, Baton Rouge, LA 70802 | 2016-07-22 |
Find all providers in zip 70802 |
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 |
---|---|---|---|---|
1396045498 | Orthodontics of Baton Rouge, LLC | Dentist | 8460 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-2823 | 2010-10-25 |
1588841019 | Sean Adrian Smith | Dentist | 9063 Siegen Ln, Suite C, Baton Rouge, LA 70810-1951 | 2008-01-28 |
1689790602 | Keith R. Kyler | Dentist | 11964 Coursey Blvd, Baton Rouge, LA 70816-4405 | 2007-03-21 |
1336279520 | Stephen L. Sherman | Dentist | 8311 Bluebonnet Blvd, Baton Rouge, LA 70810-2826 | 2007-03-06 |
1255461992 | James F Sieberth | Dentist | 8170 Goodwood Blvd Ste B, Baton Rouge, LA 70806-7736 | 2007-03-06 |
1689700031 | Kevin Paul Harris | Dentist | 5015 Bluebonnet Blvd, Baton Rouge, LA 70809-3084 | 2007-02-27 |
1891830212 | Andre Maurice Fruge | Dentist | 12061 Bricksome Ave, Baton Rouge, LA 70816-2339 | 2007-02-21 |
1114003217 | Rickey Lee Martin | Dentist | 7707 Old Hammond Hwy Ste 4, Baton Rouge, LA 70809-1262 | 2006-10-31 |
1407870983 | Joseph R Porter | Dentist | 4451 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809-9639 | 2006-07-27 |
1619929262 | James Sidney Langley | Dentist | 4809 Jones Creek Rd, Baton Rouge, LA 70817-1528 | 2006-05-16 |
Find all providers in BATON ROUGE |
City | BATON ROUGE |
Zip Code | 70802 |
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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.