JACOB DENT, D.D.S., DENTISTS OF MANDEVILLE, A PROFESSIONAL CORPORATION (NPI# 1609415561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609415561 |
| Entity Type | Organization |
| Organization Name | JACOB DENT, D.D.S., DENTISTS OF MANDEVILLE, A PROFESSIONAL CORPORATION |
| Practice Address |
3421 E Causeway Approach Ste A Mandeville LA 70448-3447 |
| Mailing Address |
17000 Red Hill Ave Irvine CA 92614-5626 |
| Practice Telephone | 9857461629 |
| Practice Fax Number | 9857461310 |
| Mailing Telephone | 7148458500 |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2019-12-24 |
| Authorized Official Name | DR. JACOB DEN (OWNER) |
| Authorized Official Telephone | 7148458500 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dentists of Mandeville | Doing Business As Name - Organization |
| Street Address |
3421 E CAUSEWAY APPROACH STE A |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448-3447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
| 1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
| 1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| Find all providers in zip 70448 | ||||
| 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 |
|---|---|---|---|---|
| 1134488224 | Grand Dentistry Arbor | Dentist | 535 N. Causeway, Mandeville, LA 70448 | 2012-05-09 |
| 1528274966 | Michelle Nicole Leblanc | Dentist | 535 N Causeway Blvd, Mandeville, LA 70448 | 2007-05-15 |
| 1245456748 | Michael John Mccracken | Dentist | 1200 W Causeway Approach, Mandeville, LA 70471-3066 | 2007-04-17 |
| 1831232594 | Charles Anthony Schof Jr. | Dentist | 240 Dalwill Dr, Mandeville, LA 70471-3372 | 2007-02-14 |
| 1972679389 | Gregg A May | Dentist | 4040 Lonesome Rd, Mandeville, LA 70448-7085 | 2006-11-28 |
| 1891861654 | Astrid Ann Bratcher | Dentist | 700 Asbury Dr, Mandeville, LA 70471-1844 | 2006-11-25 |
| 1578638839 | Jorge Pedro Perera | Dentist | 2030 N Causeway Blvd, Mandeville, LA 70471 | 2006-11-22 |
| 1669541447 | Richard Engel Gruner | Dentist | 2881 Highway 190, Suite D4, Mandeville, LA 70471-3248 | 2006-11-07 |
| 1629161138 | Gerald Brent Brown | Dentist | 1800 W. Causeway, Suite 118, Mandeville, LA 70471-3112 | 2006-10-02 |
| 1124125646 | Karen Dyer Saacks | Dentist | 2881 Highway 190 Ste D4, Mandeville, LA 70471-3248 | 2006-09-19 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70448 |
Please comment or provide details below to improve the information on JACOB DENT, D.D.S., DENTISTS OF MANDEVILLE, A PROFESSIONAL CORPORATION.
| 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.