DR. CLARE MADDOX BERTHELOT (NPI# 1689992554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689992554 |
| Entity Type | Individual |
| Full Name | DR. CLARE MADDOX BERTHELOT |
| Credential | D.D.S. |
| Practice Address |
5151 Plank Rd Suite 28 Baton Rouge LA 70805-3501 |
| Practice Telephone | 2253306622 |
| Practice Fax Number | 2253568163 |
| Mailing Telephone | 2253306622 |
| Mailing Fax Number | 2253568163 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6031 | LA | Dental Providers |
| Street Address |
5151 PLANK RD SUITE 28 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70805-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891843132 | Pankajam V Mahadevan | Pediatrics | 5151 Plank Rd, Suite Number 38, Baton Rouge, LA 70805-3501 | 2007-01-05 |
| 1790226967 | Children's International, LLC | Clinic/Center | 5151 Plank Rd, Baton Rouge, LA 70805-3501 | 2017-03-20 |
| 1447564810 | Ryan Shinska | Dentist | 5151 Plank Rd, Suite 28, Baton Rouge, LA 70805-3501 | 2010-07-28 |
| 1013143031 | Billy George Hall Jr. | Dentist | 5151 Plank Rd, Suite 28, Baton Rouge, LA 70805-3501 | 2009-06-04 |
| 1669628210 | Anne Robert Sommers | Dentist | 5151 Plank Rd, Suite 28, Baton Rouge, LA 70805-3501 | 2008-08-14 |
| 1356507040 | Acadia Health LLC | Dentist | 5151 Plank Rd, Baton Rouge, LA 70805-3501 | 2008-08-01 |
| 1740447424 | Affordable Dental Care | Dentist | 5151 Plank Rd, Ste 17-a, Baton Rouge, LA 70805 | 2008-05-20 |
| 1932311735 | Diana Marie Lebreton | Optometrist | 5151 Plank Rd, Suite 15, Baton Rouge, LA 70805-3501 | 2007-05-04 |
| 1992830350 | Leroy W Koschel | Dentist | 5151 Plank Rd, Suite. 17-a, Baton Rouge, LA 70805-3501 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306481445 | Upgrade Group Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3719 Katherine Ave, 3719 Katherine Ave, Baton Rouge, LA 70805 | 2019-11-13 |
| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1093234783 | Omar Feme Braggs I | Counselor | 3973 Choctaw Drive, Baton Rouge, LA 70805 | 2017-09-13 |
| 1558883116 | Jeffrey Williams | Counselor | 3456 Eaton Street, Baton Rouge, LA 70805 | 2017-07-14 |
| 1215466628 | Angel Danielle Morgan | Counselor | 3540 Ontario St., Baton Rouge, LA 70805 | 2017-06-08 |
| 1376904151 | Mama's Medical Transportation | Non-emergency Medical Transport (VAN) | 2727 North Ardenwood Dr., Baton Rouge, LA 70805 | 2016-03-08 |
| 1013389105 | Tiffany Thomas | Counselor | 8325 Kelwood Avenue, Baton Rouge, LA 70805 | 2015-10-28 |
| 1366823395 | Travia Linette Washington | Community Health Worker | 2959 Sherwood St, Baton Rouge, LA 70805 | 2015-06-16 |
| 1295000164 | Capital Area Human Services District | Substance Abuse Rehabilitation Facility | 2455 Wooddale Blvd., Baton Rouge, LA 70805 | 2012-03-12 |
| 1427332238 | Carl P Thibodeaux | Pharmacist | 5889 Airline Highway, Baton Rouge, LA 70805 | 2011-09-29 |
| Find all providers in zip 70805 | ||||
| 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 |
|---|---|---|---|---|
| 1932724572 | Jason Allen Simms | Dentist | 5480 Sleepy Hollow Dr, Baton Rouge, LA 70817-2142 | 2020-06-09 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1417448192 | Sabrina Portwood | Dentist | 9069 Siegen Ln, Baton Rouge, LA 70810-1951 | 2018-05-29 |
| 1124531140 | Lee Daniel Casey,d.m.d., L.L.C. | Dentist | 2137 Quail Run, Baton Rouge, LA 70808-4289 | 2017-11-13 |
| 1871006908 | Jacob Dent, Dds Millerville Dental Group A Professional Corporation | Dentist | 2121 Millerville Rd Ste A, Baton Rouge, LA 70816-1401 | 2017-11-11 |
| 1801318225 | Tiffany Sykes | Dentist | 13730 Millerville Greens Blvd # 1, Baton Rouge, LA 70816-1696 | 2017-07-07 |
| 1932645041 | Sally B Daly Dds LLC | Dentist | 11822 Justice Avenue #84, Baton Rouge, LA 70816 | 2017-01-12 |
| 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 |
| 1134578693 | Elise Kaylin King Norris | Dentist | 554 Colonial Dr, Baton Rouge, LA 70806-6552 | 2016-06-06 |
| 1093179269 | Audubon Family Dentistry | Dentist | 2925 Brakley Dr, Baton Rouge, LA 70816-2305 | 2016-04-13 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70805 |
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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.