CYPRESS BEND ORAL & MAXILLOFACIAL SURGERY (NPI# 1346868676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346868676 |
| Entity Type | Organization |
| Organization Name | CYPRESS BEND ORAL & MAXILLOFACIAL SURGERY |
| Practice Address |
106 Rue Bastille Lafayette LA 70508 |
| Practice Telephone | 3373522363 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | JUSTIN STANFORD (OWNER) |
| Authorized Official Telephone | 3373522363 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
106 RUE BASTILLE |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| 1578089603 | Ardoin-kennedy LLC | Dentist | 203 A Energy Parkway, Lafayette, LA 70508 | 2017-08-21 |
| Find all providers in zip 70508 | ||||
| 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 |
|---|---|---|---|---|
| 1578089603 | Ardoin-kennedy LLC | Dentist | 203 A Energy Parkway, Lafayette, LA 70508 | 2017-08-21 |
| 1154864106 | Coal Creek Oral Surgery and Dental Implant Center, Pllc | Dentist | 1771 Cherokee Trl, Lafayette, CO 80026-7088 | 2016-11-23 |
| 1063629988 | Brett A Henrikson | Dentist | 2 Executive Dr Ste A, Lafayette, IN 47905-4859 | 2007-05-17 |
| 1316169030 | Hiram A. Mcconnell | Dentist | 1231 Coolidge Blvd, Lafayette, LA 70503-2620 | 2007-05-03 |
| 1861523441 | Bruce A Schneider | Dentist | 117 Rue Fontaine, Lafayette, LA 70508-5744 | 2007-03-08 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1093808594 | Keith R. Gronbach, D.d.s., Inc. | Dentist | 3799 Mt Diablo Blvd, Lafayette, CA 94549-3538 | 2006-10-02 |
| 1104920453 | Christian Matthew Steffey | Dentist | 2020 Union St Ste 200, Lafayette, IN 47904-2694 | 2006-09-08 |
| 1780600031 | Mark Alan Welch | Dentist | 200 Republic Ave, I, Lafayette, LA 70508-6826 | 2006-07-13 |
| 1033142872 | Edward A Neupert IIi | Dentist | 3839 W Congress St Ste C, Lafayette, LA 70506-6000 | 2006-07-07 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on CYPRESS BEND ORAL & MAXILLOFACIAL SURGERY.
| 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.