MICHAEL P JUBAN DDS AND J CODY COWEN NORTH LLC (NPI# 1346760824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346760824 |
| Entity Type | Organization |
| Organization Name | MICHAEL P JUBAN DDS AND J CODY COWEN NORTH LLC |
| Other Organization Name | SOUTHERN OAKS FAMILY DENTAL CARE |
| Practice Address |
3557 Monterrey Dr Baton Rouge LA 70814-2918 |
| Mailing Address |
8564 Jefferson Hwy Ste A Baton Rouge LA 70809-2424 |
| Practice Telephone | 2259278663 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2018-10-25 |
| Authorized Official Name | JOHN CODY COWEN (PARTNER) |
| Authorized Official Telephone | 2259278663 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | MICHAEL P JUBAN DDS AND J CODY COWEN NORTH LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Southern Oaks Family Dental Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 554 Colonial Dr Ste B, Baton Rouge, LA 708066552 | 2259232291 |
| Street Address |
3557 MONTERREY DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70814-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114417409 | Dianne Smart Patterson | Case Manager/Care Coordinator | 10821 Cedar Bend Ave, Baton Rouge, LA 70814 | 2018-05-14 |
| 1649794785 | Quiana Gage | Counselor | 3185 Oakcrest Drive, Baton Rouge, LA 70814 | 2017-07-31 |
| 1093166696 | Caring To Love Ministries Inc | Clinic/Center | 3813 North Flannery Rd, Baton Rouge, LA 70814 | 2016-06-24 |
| 1124480439 | Marquiea Anderson | Counselor | 3323 Charlotte Dr., Baton Rouge, LA 70814 | 2016-03-25 |
| 1194196204 | Keyana Deshawn Jackson | Counselor | 4041 Daytona Ave, Baton Rouge, LA 70814 | 2015-10-14 |
| 1013311877 | Tasha Lucien | Registered Nurse | 8508 Greeenwell Springs Rd Apt #27, Baton Rouge, LA 70814 | 2014-10-22 |
| 1245661271 | Freds Stores of Tennessee Inc | Pharmacy | 10710 Greenwell Springs Road, Baton Rouge, LA 70814 | 2013-12-02 |
| 1104057686 | Terri Whitley Jackson | Pharmacist | 11080 Greenwell Springs Rd, Baton Rouge, LA 70814 | 2009-08-02 |
| 1457539025 | Kenny Roy Oswald | Dentist | 3557 Monterrey Drive, Baton Rouge, LA 70814 | 2008-02-06 |
| 1093990806 | Cahronda Kaliquec Johnson | Speech-Language Pathologist | 3837 Sarasota Dr, Baton Rouge, LA 70814 | 2007-12-31 |
| Find all providers in zip 70814 | ||||
| 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 |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1508465899 | Exceptional Dental of Highland, LLC | Dentist | 7278 Highland Rd Ste C, Baton Rouge, LA 70808-6604 | 2020-10-19 |
| 1033733746 | Michael P Juban Dds and J Cody Cowen North Apdllc | Dentist | 8670 Airline Highway, Suite A, Baton Rouge, LA 70815 | 2020-05-29 |
| 1659992865 | Justin K Bonaventure Dental Offices, LLC | Dentist | 13702 Coursey Blvd, Bldg 10, Ste C, Baton Rouge, LA 70817-1370 | 2020-04-28 |
| 1639646995 | Michael P Juban Dds and J Cody Cowen North Apdllc | Dentist | 554 Colonial Dr Ste B, Baton Rouge, LA 70806-6552 | 2018-10-25 |
| 1174009633 | Affordable Smiles of Baton Rouge, LLC | Dentist | 1962 Oneal Ln Ste A&b, Baton Rouge, LA 70816-3250 | 2018-07-17 |
| 1154814838 | Hollis Anne Clark | Dentist | 15420 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816-2933 | 2018-06-07 |
| 1033600804 | Kaitlyn Renee Hawkins | Dentist | 6860 Bluebonnet Blvd, Baton Rouge, LA 70810-1615 | 2018-05-28 |
| 1083136790 | Greesim Loy | Dentist | 13730 Millerville Greens Blvd Ste 1, Baton Rouge, LA 70816-1696 | 2017-07-13 |
| 1205356417 | Taylor Elise Hayden | Dentist | 5422 Jones Creek Rd, Baton Rouge, LA 70817-2127 | 2017-06-20 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70814 |
Please comment or provide details below to improve the information on MICHAEL P JUBAN DDS AND J CODY COWEN NORTH LLC.
| 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.