DR. VINCENT DICARLO II (NPI# 1700239498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700239498 |
Entity Type | Individual |
Full Name | DR. VINCENT DICARLO II |
Credential | DDS |
Practice Address |
9804 Bluebonnet Blvd Ste B Baton Rouge LA 70810-6479 |
Mailing Address |
905 Pasadena Ave Metairie LA 70001-3565 |
Practice Telephone | 2257663061 |
Mailing Telephone | 5046698376 |
Enumeration Date | 2016-07-18 |
Last Update Date | 2018-12-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
6674 | LA | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
245 Veterans Blvd, Denham Springs, LA 707264720 | 2257663061 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407388911 | Vincent Daniel Dicarlo | Urology | University of Kentucky 800 Rose Street, Lexington, KY 40536 | 2017-04-03 |
1871043430 | Vincent Dicarlo | Social Worker | 26184 Outer Dr, Lincoln Park, MI 48146-2084 | 2016-10-07 |
Street Address |
9804 BLUEBONNET BLVD STE B |
City | BATON ROUGE |
State | LA |
Zip Code | 70810-6479 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
Find all providers in zip 70810 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295028751 | Michelle B Speier | Dentist | 11906 Lake Estates Ave, Baton Rouge, LA 70810-7320 | 2011-05-17 |
1992037758 | David M Vieth Dds, A Professional Corporation | Dentist | 3455 Government St, Baton Rouge, LA 70806-5717 | 2010-02-04 |
1184851685 | Darren Heath Hess | Dentist | 6271 Government Street, Suite D, Baton Rouge, LA 70806 | 2009-06-11 |
1386700680 | Marty James Saltzman | Dentist | 11962 Coursey Blvd, Baton Rouge, LA 70816-4405 | 2006-12-29 |
1538105689 | Gwendolyn D Corbett | Dentist | 9804 Bluebonnet Blvd, Suite B, Baton Rouge, LA 70810-6442 | 2006-06-20 |
1518241405 | William C Chisholm Jr. | Dentist | 6721 Government St, Ste D, Baton Rouge, LA 70806-6239 | 2011-10-10 |
1164706057 | George W Harrison | Dentist | 6721 Government St, Ste D, Baton Rouge, LA 70806-6239 | 2011-10-10 |
1851458467 | Drs Chisholm Harrison Sandifer | Dentist | 6721 Government St, Ste D, Baton Rouge, LA 70806 | 2007-01-02 |
1962571018 | Dr Denis E Simon IIi, Dr Michael Scott Bond and Gwendolyn Denise Co | Dentist | 9804 Bluebonnet Blvd, Suite B, Baton Rouge, LA 70810-6442 | 2006-11-06 |
1023108206 | Leneise Cheri Lynn | Dentist | 8894 Airline Hwy, Suite M, Baton Rouge, LA 70815-4081 | 2006-10-16 |
Find all providers in BATON ROUGE |
City | BATON ROUGE |
Zip Code | 70810 |
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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.