MS. NANCY JEAN PEMBERTON (NPI# 1487674909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487674909 |
| Entity Type | Individual |
| Full Name | MS. NANCY JEAN PEMBERTON |
| Credential | DDS |
| Practice Address |
111 Monsanto Ave Luling LA 70070-2149 |
| Practice Telephone | 9857850620 |
| Practice Fax Number | 9857850611 |
| Mailing Telephone | 9857850620 |
| Mailing Fax Number | 9857850611 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4504 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 184504 3 | 05 | |
| BLUE CROSS BLUE SHIELD | A2170 | 01 | |
| UNITED CONCORDIA | 899161 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679029227 | Nancy Pemberton | Nurse Practitioner | 1003 Windover Rd, Jonesboro, AR 72401 | 2016-09-01 |
| Street Address |
111 MONSANTO AVE |
| City | LULING |
| State | LA |
| Zip Code | 70070-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447759337 | Kimberly Brown | Specialist/Technologist, Other | 13755 River Road, Luling, LA 70070 | 2018-02-06 |
| 1093213274 | Cherrelle Monique Williams | Counselor | 999 Paul Fredrick Street, Luling, LA 70070 | 2018-01-23 |
| 1699222174 | Latrenda Williams | Counselor | 203 Paul Maillard Road, Luling, LA 70070 | 2016-09-01 |
| 1184028052 | Matthew M Powers | Physical Therapist | 12371 Hwy 90, Ste D, Luling, LA 70070 | 2014-10-21 |
| 1215343959 | Regional Home Care South,llc | Home Health | 50 Wade Street, Ste 3, Luling, LA 70070 | 2014-07-02 |
| 1902143936 | E. Millman Inc | Social Worker | 13201 River Rd, Lvling, LA 70070 | 2013-01-10 |
| 1225369994 | Slm Nonemergency Medical Transportation | Non-emergency Medical Transport (VAN) | 737 Paul Maillard Road, Luling, LA 70070 | 2010-01-20 |
| 1972753192 | Grace Healthcare Management, LLC | Rehabilitation Hospital | 1125 Paul Maillard Road, Luling, LA 70070 | 2008-09-24 |
| 1528214871 | Monica Vial Benson, M.d., Apmc | Physical Medicine & Rehabilitation | 126 Post Drive, Luling, LA 70070 | 2008-08-18 |
| 1609089002 | Damaris D. Bastian, Dds General Dentistry, LLC | Dentist | 1518 Paul Mallard Rd, Luling, LA 70070 | 2007-05-08 |
| Find all providers in zip 70070 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609089002 | Damaris D. Bastian, Dds General Dentistry, LLC | Dentist | 1518 Paul Mallard Rd, Luling, LA 70070 | 2007-05-08 |
| 1932230349 | Ezra Bowens Jr. | Dentist | 243 Canal St, Luling, LA 70070 | 2007-03-08 |
| 1750442083 | Kamala Ann Lewis | Dentist | 508 E Pierce St, Luling, TX 78648-2613 | 2006-12-12 |
| 1659876134 | Luling Family Dentistry, LLC | Dentist | 207 5th Street, Luling, LA 70070-0167 | 2018-03-27 |
| 1982137980 | Lindsey Pherribo | Dentist | 843 Milling Ave, Luling, LA 70070-4442 | 2017-04-06 |
| 1588987838 | Christine M Hervas Dds Pa | Dentist | 409 E Crockett St, Luling, TX 78648-2601 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322925 | E Edward Hood Jr, Dds - Livingston, Pllc | Dentist | 29160 S Frost Rd, Livingston, LA 70754-2620 | 2020-10-05 |
| 1962029934 | Abisola Jegede | Dentist | 3411 Nelson Rd Ste 100, Lake Charles, LA 70605-1240 | 2020-06-25 |
| 1932724572 | Jason Allen Simms | Dentist | 5480 Sleepy Hollow Dr, Baton Rouge, LA 70817-2142 | 2020-06-09 |
| 1659995413 | Tami Thuy Nguyen | Dentist | 5220 Lapalco Blvd, Marrero, LA 70072-4248 | 2020-06-07 |
| 1306460001 | Bfd Madisonville Associates LLC | Dentist | 109 Pine Creek Drive, Suite B, Madisonville, LA 70447 | 2020-05-29 |
| 1891317491 | Hood Dental Care | Dentist | 32871 La Highway 16, Denham Springs, LA 70706-0960 | 2020-05-18 |
| 1609415561 | Jacob Dent, D.d.s., Dentists of Mandeville, A Professional Corporation | Dentist | 3421 E Causeway Approach Ste A, Mandeville, LA 70448-3447 | 2019-12-24 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1366004186 | Hunter Brooks | Dentist | 107 Suwanee Rd, Lafayette, LA 70503-6111 | 2019-07-01 |
| 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.