JUSTIN K BONAVENTURE DENTAL OFFICES, LLC


Address: 13702 Coursey Blvd, Bldg 10, Ste C, Baton Rouge, LA 70817-1370
Phone: 2259363933

JUSTIN K BONAVENTURE DENTAL OFFICES, LLC (NPI# 1659992865) 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) 1659992865
Entity Type Organization
Organization Name JUSTIN K BONAVENTURE DENTAL OFFICES, LLC
Practice Address 13702 Coursey Blvd, Bldg 10, Ste C
Baton Rouge
LA 70817-1370
Practice Telephone 2259363933
Mailing Telephone 2259363933
Enumeration Date 2020-04-28
Last Update Date 2020-04-28
Authorized Official Name DR. JUSTIN BONAVENTURE (OWNER/PRESIDENT)
Authorized Official Telephone 2259363933
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Bonaventure Dental Care Doing Business As Name - Organization

Office Location

Street Address 13702 COURSEY BLVD, BLDG 10, STE C
City BATON ROUGE
State LA
Zip Code 70817-1370

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518503754 Optimus Primary Care, LLC Clinic/Center 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 2019-11-22
1457821043 Traci Bellazin Case Manager/Care Coordinator 9334 Falling Oak Dr., Baton Rouge, LA 70817 2018-11-27
1124502869 Jacob Schrieffer Nurse Practitioner 15389 Airline Highway, Baton Rouge, LA 70817 2018-09-19
1629564638 Baton Rouge Dental Associates, LLC Dentist 14948 Market St, Baton Rouge, LA 70817 2018-07-03
1740786946 Charlotte L Watts Nurse Practitioner 15389 Airline Hwy, Baton Rouge, LA 70817 2018-04-05
1164957536 Deranecha Francois Counselor 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 2017-04-24
1992251573 Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp Dentist 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 2016-09-01
1235522962 Cardinal Community Services LLC Clinic/Center 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 2015-03-05
1962832204 Bcbr Facility Services, LLC Clinic/Center 277 Rue De La Vie, Baton Rouge, LA 70817 2013-11-23
1700225737 Renee Denise Beyer Boudreaux Nurse Practitioner 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 2013-06-24
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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
1033733746 Michael P Juban Dds and J Cody Cowen North Apdllc Dentist 8670 Airline Highway, Suite A, Baton Rouge, LA 70815 2020-05-29
1639646995 Michael P Juban Dds and J Cody Cowen North Apdllc Dentist 554 Colonial Dr Ste B, Baton Rouge, LA 70806-6552 2018-10-25
1174009633 Affordable Smiles of Baton Rouge, LLC Dentist 1962 Oneal Ln Ste A&b, Baton Rouge, LA 70816-3250 2018-07-17
1154814838 Hollis Anne Clark Dentist 15420 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816-2933 2018-06-07
1033600804 Kaitlyn Renee Hawkins Dentist 6860 Bluebonnet Blvd, Baton Rouge, LA 70810-1615 2018-05-28
1083136790 Greesim Loy Dentist 13730 Millerville Greens Blvd Ste 1, Baton Rouge, LA 70816-1696 2017-07-13
1346760824 Michael P Juban Dds and J Cody Cowen North LLC Dentist 3557 Monterrey Dr, Baton Rouge, LA 70814-2918 2017-06-26
1205356417 Taylor Elise Hayden Dentist 5422 Jones Creek Rd, Baton Rouge, LA 70817-2127 2017-06-20
Find all providers in BATON ROUGE

Competitor

Search similar providers

City BATON ROUGE
Zip Code 70817

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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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