CRESCENT CITY DENTISTRY ST. ROSE, L.L.C. (NPI# 1649542028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649542028 |
| Entity Type | Organization |
| Organization Name | CRESCENT CITY DENTISTRY ST. ROSE, L.L.C. |
| Practice Address |
10964 River Rd Saint Rose LA 70087 |
| Mailing Address |
8229 Jefferson Hwy Harahan LA 70123-4617 |
| Practice Telephone | 5044869778 |
| Mailing Telephone | 5047399778 |
| Mailing Fax Number | 5047399871 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | DR. CLEOPATRA EYVONNE THOMPSON (CEO) |
| Authorized Official Telephone | 5044869778 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5373 | LA | Dental Providers |
| Street Address |
10964 RIVER RD |
| City | SAINT ROSE |
| State | LA |
| Zip Code | 70087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770080970 | Aatiqah Aakifah Khalid | Dentist | 10964 River Rd, Saint Rose, LA 70087-3400 | 2018-04-12 |
| 1316315401 | Douglas Rodrigue Jr. | Dentist | 10964 River Rd, Saint Rose, LA 70087-3400 | 2015-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306315338 | Brittany Batiste | Case Manager/Care Coordinator | 102 East Club Dr Aptg, St Rose, LA 70087 | 2018-11-20 |
| 1770031866 | Sheletha M Morton | Case Manager/Care Coordinator | 612 Mockingbird St, Saint Rose, LA 70087 | 2016-09-16 |
| 1497100465 | Kieara Walker | Counselor | 620 Turtle Creek Lane, Saint Rose, LA 70087 | 2016-04-27 |
| 1841663614 | Sharmeria Jones | Counselor | 164 Rue Landry Rd, Saint Rose, LA 70087 | 2015-11-03 |
| 1013239508 | Access Health Louisiana | Counselor | 232 Pirate Drive, Saint Rose, LA 70087 | 2010-02-24 |
| 1992922686 | Ashley Mehrtens Desselle | Speech-Language Pathologist | 224 Rue Landry, Saint Rose, LA 70087 | 2007-04-20 |
| 1790853513 | Crescent City Respiratory | Durable Medical Equipment & Medical Supplies | 1000 Riverbend Dr, Suite L, Saint Rose, LA 70087-3021 | 2006-12-01 |
| 1932136975 | Ryan James Landry | Specialist/Technologist | 167 E Oakland St, St Rose, LA 70087-3231 | 2006-06-26 |
| 1922504513 | En Route Transportation Services LLC | Non-emergency Medical Transport (VAN) | 204 E Pin Oak Dr, Saint Rose, LA 70087-3239 | 2018-04-02 |
| 1942706965 | Paige Hamon | Specialist/Technologist | 117 Oak Manor Ln, Saint Rose, LA 70087-3362 | 2018-03-30 |
| Find all providers in zip 70087 | ||||
| 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 |
|---|---|---|---|---|
| 1770080970 | Aatiqah Aakifah Khalid | Dentist | 10964 River Rd, Saint Rose, LA 70087-3400 | 2018-04-12 |
| 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 | ||||
| City | SAINT ROSE |
| Zip Code | 70087 |
Please comment or provide details below to improve the information on CRESCENT CITY DENTISTRY ST. ROSE, L.L.C..
| 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.