DR. WALLACE TAYLOR VANNORTWICK (NPI# 1427195254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427195254 |
Entity Type | Individual |
Full Name | DR. WALLACE TAYLOR VANNORTWICK |
Credential | D.D.S. |
Practice Address |
7942 Goodwood Blvd Baton Rouge LA 70806-7629 |
Practice Telephone | 2259251517 |
Mailing Telephone | 2259251517 |
Enumeration Date | 2007-01-31 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0700X |
Dentist Specialization: Prosthodontics |
DN 8075 | FL | Dental Providers |
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
3211 | LA | Dental Providers |
Street Address |
7942 GOODWOOD BLVD |
City | BATON ROUGE |
State | LA |
Zip Code | 70806-7629 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407036098 | Lisanne Meiners Mcculler | Physical Therapist | 7942 Goodwood Blvd, Baton Rouge, LA 70806-7629 | 2007-11-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
Find all providers in zip 70806 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912103946 | Michael Shannon | Dentist | 13360 Coursey Blvd Ste D, Baton Rouge, LA 70816-4970 | 2007-06-26 |
1114075710 | Richard S Appleton | Dentist | 4970 Bluebonnet Blvd, Suite A, Baton Rouge, LA 70809-3089 | 2007-01-08 |
1184627788 | Michael J. Maginnis | Dentist | 7742 Office Park Blvd, Bldg A, Suite 1, Baton Rouge, LA 70809-7601 | 2005-05-27 |
1346398963 | Isaac E Appleton | Dentist | 7742 Office Park Blvd, Suite A-1, Baton Rouge, LA 70809-8636 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144830530 | Amir Hossein Nejat | Dentist | 1100 Florida Ave # 5473, New Orleans, LA 70119-2715 | 2020-07-31 |
1316265358 | Mark Richards Durham | Dentist | 4946 York St, Metairie, LA 70001-1036 | 2010-05-15 |
1265620942 | Marco Antonio Brindis | Dentist | 1100 Florida Ave Rm 5465, New Orleans, LA 70119-2714 | 2007-10-09 |
1740405984 | William Peyton Cunningham IIi | Dentist | 1943 E 70th St, Shreveport, LA 71105-5351 | 2007-04-14 |
1962573766 | Conrad Ferdinand Frey IIi | Dentist | 185 S Beadle Rd, Building 1, Suite C, Lafayette, LA 70508-4287 | 2006-11-13 |
1073111415 | Brindis Prosthodontics, LLC | Dentist | 605 N Carrollton Ave, New Orleans, LA 70119-4743 | 2020-10-16 |
1679057582 | Maria Chatzinikola | Dentist | 2204 Forsythe Ave, Monroe, LA 71201-3613 | 2018-09-18 |
1942748090 | Jorge Palavicini | Dentist | 1100 Florida Ave, Box 222, New Orleans, LA 70119-2715 | 2017-02-09 |
1023478633 | Faye Mascarenhas | Dentist | 1100 Florida Ave # 222, New Orleans, LA 70119-2715 | 2016-02-25 |
1740610864 | Jose David Viquez | Dentist | 1100 Florida Ave, Lsu School of Dentistry, New Orleans, LA 70119 | 2013-11-27 |
Find all providers with the same taxonomy |
City | BATON ROUGE |
Zip Code | 70806 |
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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.