MICHAEL WILLIAM MACKENZIE (NPI# 1861588980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861588980 |
| Entity Type | Individual |
| Full Name | MICHAEL WILLIAM MACKENZIE |
| Credential | DDS |
| Practice Address |
13592 River Rd Suite #1 Destrehan LA 70047-5073 |
| Practice Telephone | 9857642351 |
| Practice Fax Number | 9857647510 |
| Mailing Telephone | 9857642351 |
| Mailing Fax Number | 9857647510 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3088 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619140704 | Michael Charles Mackenzie | Counselor | 2020 Terry St, Longmont, CO 80501-1893 | 2008-04-09 |
| Street Address |
13592 RIVER RD SUITE #1 |
| City | DESTREHAN |
| State | LA |
| Zip Code | 70047-5073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326606393 | Tiara W Austin | Non-emergency Medical Transport (VAN) | 129 9th Street, Destrehan, LA 70047 | 2019-06-04 |
| 1376992685 | Maghan Eugene | Counselor | 271 Villere Dr, Destrehan, LA 70047 | 2016-06-07 |
| 1750701264 | Abby Elizabeth Gandolfi | Internal Medicine | 13100 River Rd Ste 200, Destrehan, LA 70047 | 2014-04-23 |
| 1316362304 | Greater New Orleans Eye Care-destrehan LLC | Optometrist | 1 Storehouse Lane, Unit B, Destrehan, LA 70047 | 2014-02-27 |
| 1295023315 | Melissa Marie Arceneaux-myers | Chiropractor | 1950 Ormond Blvd Ste A, Destrehan, LA 70047 | 2011-07-11 |
| 1104058635 | Elizabeth Thorson | Dentist | 159 Longview Dr Ste Longview, Ste A, Destrehan, LA 70047 | 2009-08-18 |
| 1770759979 | Annemarie B Clancy | Speech-Language Pathologist | 290 Bowie Road, Thibodaux, LA 70047 | 2008-05-07 |
| 1508088501 | Linda Fennell | Pharmacist | 128 Nottoway Dr, Destrhan, LA 70047 | 2007-05-02 |
| 1689739971 | Childrens Clinic LLC | Pediatrics | 3 Storehouse Lane, Suite B, Destrehan, LA 70047 | 2006-12-27 |
| 1235204835 | Richard Lee Owens Sr. | Dentist | 124 Longview Dr, Suite 8, Destrehan, LA 70047 | 2006-11-21 |
| Find all providers in zip 70047 | ||||
| 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 |
|---|---|---|---|---|
| 1740633270 | Celeste Love | Dentist | 12519 Airline Hwy Ste G, Destrehan, LA 70047-2502 | 2016-07-20 |
| 1235204835 | Richard Lee Owens Sr. | Dentist | 124 Longview Dr, Suite 8, Destrehan, LA 70047 | 2006-11-21 |
| 1447253430 | Melanie Andrews | Dentist | 103 Plantation Rd, Destrehan, LA 70047-3016 | 2005-05-23 |
| 1245639319 | Reid Matthew Owens | Dentist | 124 Longview Dr, Suite 8, Destrehan, LA 70047-5077 | 2014-08-14 |
| 1124291919 | Tara Gilpin Brindis | Dentist | 12519 Airline Hwy, Suite G, Destrehan, LA 70047-2546 | 2008-04-11 |
| 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 | ||||
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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.