DR. WALLACE TAYLOR VANNORTWICK


Address: 7942 Goodwood Blvd, Baton Rouge, LA 70806-7629
Phone: 2259251517

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 7942 GOODWOOD BLVD
City BATON ROUGE
State LA
Zip Code 70806-7629

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407036098 Lisanne Meiners Mcculler Physical Therapist 7942 Goodwood Blvd, Baton Rouge, LA 70806-7629 2007-11-12

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City BATON ROUGE
Zip Code 70806

Improve Information

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Dataset Information

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.

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