DR. JENNIFER NEWTON BOLES (NPI# 1386754620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386754620 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER NEWTON BOLES |
| Credential | DDS |
| Practice Address |
4279 Hwy 15 Mangham LA 71259 |
| Practice Telephone | 3182484986 |
| Practice Fax Number | 3182483379 |
| Mailing Telephone | 3182484986 |
| Mailing Fax Number | 3182483379 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5050 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1850501 | 05 | |
| LA | STATE LICENSE # | 5050 | 01 |
| Street Address |
4279 HWY 15 |
| City | MANGHAM |
| State | LA |
| Zip Code | 71259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366610719 | Mangham Home Care | Home Health | 714 Broadway Street, Mangham, LA 71259 | 2008-02-19 |
| 1720006679 | Mangham Home Care Inc | Home Health | 714 Broadway, Mangham, LA 71259 | 2006-07-18 |
| 1700841079 | Mangham Rx Drugs, Inc | Pharmacy | 104 Louisiana St, Mangham, LA 71259 | 2006-04-19 |
| 1972767291 | Mangham Home Care, Inc. | Home Health | 714 Broadway Street, Mangham, LA 71259 | 2008-07-16 |
| 1538235429 | Mangham Home Care, Inc | Home Health | 714 Broadway, Mangham, LA 71259 | 2006-11-24 |
| 1902850035 | Affinity Health Group, LLC | Family Medicine | 261 Hwy 132, Mangham, LA 71259-0219 | 2006-05-22 |
| 1578665477 | Community Care Services, Inc. | Technician | 508 Horace St, Mangham, LA 71259-5056 | 2006-09-01 |
| 1154450641 | Community Care Services, Inc | Technician | 508 Horace St, Mangham, LA 71259-5056 | 2007-03-02 |
| 1043347206 | Community Care Services, Inc | Technician | 508 Horace St, Mangham, LA 71259-5056 | 2007-02-27 |
| 1316074578 | Community Care Services, Inc. | Technician | 508 Horace St, Mangham, LA 71259-5056 | 2007-02-27 |
| Find all providers in zip 71259 | ||||
| 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 |
|---|---|---|---|---|
| 1184937906 | Dr. Jennifer N. Boles, Dds, LLC | Dentist | 4279 Highway 15, Mangham, LA 71259-5189 | 2010-07-21 |
| 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 |
| 1144828203 | Nia Beasley | Dentist | 1312 Octavia St, New Orleans, LA 70115-4225 | 2020-10-12 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1730797341 | Tyler Stephen Hawthorne | Dentist | 205 N Hood St, Lake Providence, LA 71254-2103 | 2020-07-20 |
| 1174149363 | Nataliya Pavlovna Jumonville | Dentist | 1708 Mlk Jr Blvd Ste 101, Houma, LA 70360-2408 | 2020-06-23 |
| 1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
| 1629693064 | Vial Joseph Leblanc IIi | Dentist | 1007 W Thomas St Ste E, Hammond, LA 70401-3062 | 2020-06-11 |
| 1174148779 | Audubon Urgent Dental | Dentist | 7181 U.S. Hwy 61, Suite 10, Saint Francisville, LA 70775 | 2020-06-10 |
| 1093330631 | Seaira-myangel Emily Miles | Dentist | 3569 W Louisiana State Dr, Kenner, LA 70065-2451 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
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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.