DR. MARIJA GUIDRY LASALLE (NPI# 1699873133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699873133 |
| Entity Type | Individual |
| Full Name | DR. MARIJA GUIDRY LASALLE |
| Credential | D.D.S. |
| Practice Address |
1580 W Causeway Approach Suite 5 Mandeville LA 70471-3033 |
| Practice Telephone | 9857271133 |
| Practice Fax Number | 9857279944 |
| Mailing Telephone | 9857271133 |
| Mailing Fax Number | 9857279944 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
4485 | LA | Dental Providers |
| Street Address |
1580 W CAUSEWAY APPROACH SUITE 5 |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903162 | Oliver Wendell Whitney | Optometrist | 1580 W Causeway Approach, Ste 3, Mandeville, LA 70471-3033 | 2005-06-22 |
| 1821223231 | Oliver Wendall Whitney A Professional Optometry Corp (apoc) | Optometrist | 1580 W Causeway Approach, Suite 3, Mandeville, LA 70471-3033 | 2009-05-29 |
| 1649471335 | Obyrne Eye Clinic, L.L.C. | Specialist | 1580 W Causeway Approach, Suite 3, Mandeville, LA 70471-3033 | 2007-05-30 |
| 1518084698 | Ralph R Nix IIi LLC | Specialist | 1580 W Causeway Approach, Suite 3, Mandeville, LA 70471-3033 | 2007-03-23 |
| 1083772453 | Marilu O'byrne | Ophthalmology | 1580 W Causeway Approach, Suite 3, Mandeville, LA 70471-3033 | 2006-12-05 |
| 1427026558 | Ralph R Nix IIi | Specialist | 1580 W Causeway Approach, Suite 3, Mandeville, LA 70471-3033 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398234 | Joshua Joseph Leblanc | Pharmacist | 541 Asbury Dr., Mandeville, LA 70471 | 2019-10-24 |
| 1700356789 | John R. Macgregor Jr. M.d. (apmc) | Non-Pharmacy Dispensing Site | 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 | 2018-12-03 |
| 1619462082 | Southern Family Chiropractic, LLC | Chiropractor | 2077 North Causeway Blvd, Mandeville, LA 70471 | 2018-06-27 |
| 1518459833 | Marissa Rose Ledet Corneille | Audiologist | 1420 N Causeway Blvd., Mandeville, LA 70471 | 2018-06-01 |
| 1891285193 | Tyler Gravley | Chiropractor | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | 2018-05-14 |
| 1831640259 | Trey Stokes | Nurse Anesthetist, Certified Registered | 104 West Brighton Court, Mandeville, LA 70471 | 2016-10-20 |
| 1619420759 | Erin Salerno | Counselor | 6408 Village Ln, Mandeville, LA 70471 | 2016-07-25 |
| 1699121822 | Austin Fontenot | Chiropractor | 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 | 2016-05-06 |
| 1578935136 | Vanessa Hadden | Social Worker | 600 Mariners Plaza, Mandeville, LA 70471 | 2015-10-22 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers in zip 70471 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497971691 | Daniel Davis Gammage | Dentist | 215 Saint Ann Dr Ste 1, Mandeville, LA 70471-3394 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1548532930 | Jyoti Puri | Dentist | 1900 Perdido St Apt A54, New Orleans, LA 70112-1369 | 2012-02-01 |
| 1366714750 | Manrat Amornporncharoen | Dentist | 3624 S Loyola Dr Apt 256, Kenner, LA 70065-5499 | 2012-02-01 |
| 1538456207 | Eric Christopher Hebert | Dentist | 3521 N Arnoult Rd, Suite A, Metairie, LA 70002-3395 | 2011-07-01 |
| 1518296482 | Pooja Maney | Dentist | 1100, Florida Avenue, # 131, New Orleans, LA 70119 | 2009-12-23 |
| 1386842995 | Caesar Sweidan | Dentist | 5024 Keystone Blvd Ste A, Covington, LA 70433-7517 | 2007-07-05 |
| 1225242746 | Ana Margarita Saenz | Dentist | 337 Metairie Rd, Suite 301, Metairie, LA 70005-4338 | 2007-05-10 |
| 1871706812 | John Kenneth Legleu Jr. | Dentist | 12071 Bricksome Dr, Baton Rouge, LA 70816 | 2007-05-07 |
| 1104047976 | Hisham F Nasr | Dentist | 337 Metairie Road, Suite 301, Metairie, LA 70005 | 2007-05-01 |
| Find all providers with the same taxonomy | ||||
| City | MANDEVILLE |
| Zip Code | 70471 |
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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.