MATURIN PEDIATRIC DENTISTRY LLC (NPI# 1912407842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912407842 |
| Entity Type | Organization |
| Organization Name | MATURIN PEDIATRIC DENTISTRY LLC |
| Other Organization Name | ASCENSION CHILDREN'S DENTAL |
| Practice Address |
14639 Airline Hwy Ste 111 Gonzales LA 70737-6632 |
| Practice Telephone | 2254024118 |
| Mailing Telephone | 2254024118 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |
| Authorized Official Name | DR. ERIN M. MATTURIN (OWNER DOCTOR) |
| Authorized Official Telephone | 2254024118 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Ascension Children's Dental | Doing Business As Name - Organization |
| Street Address |
14639 AIRLINE HWY STE 111 |
| City | GONZALES |
| State | LA |
| Zip Code | 70737-6632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265734594 | Children's Dentistry of Kyle | Dentist | 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | 2010-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898982 | Jeff Ellard Dds Apdc | Dentist | 541 Shadows Ln Ste B, Baton Rouge, LA 70806-6559 | 2020-07-13 |
| 1619539483 | Nasrin Danaeifar | Dentist | 2164 Robin St Apt A, New Orleans, LA 70122-4048 | 2019-07-02 |
| 1306308051 | Erin Doody | Dentist | 4 Brittany Pl, Arabi, LA 70032-1356 | 2019-04-02 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1780181180 | Amanda Hall Begue | Dentist | 159 Longview Dr Ste A, Destrehan, LA 70047-5076 | 2018-04-11 |
| 1134625114 | Tyler Roberto Mesa | Dentist | 189 Greenbrier Blvd Ste A, Covington, LA 70433-7297 | 2018-03-30 |
| 1972056638 | Ross H. Dies, J. Cody Cowen, Dds, Benjamin A. Beach, Dds and Bryan Ste | Dentist | 3412 Barksdale Blvd, 100, Bossier City, LA 71112-3800 | 2016-07-29 |
| 1386023190 | Christopher Savoy | Dentist | 306 N Lewis St Ste 2, New Iberia, LA 70563-2924 | 2015-05-26 |
| 1235538075 | Austin Joseph Mcmurphy | Dentist | 6315 Hurst St, New Orleans, LA 70118-6162 | 2014-08-18 |
| 1518366368 | Kristoffer Norbo | Dentist | 1485 Tchoupitoulas St Apt 11103, New Orleans, LA 70130-1813 | 2014-08-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MATURIN PEDIATRIC DENTISTRY LLC.
| 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.