MAXILLOFACIAL IMAGING OF BATON ROUGE, LLC (NPI# 1932490208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932490208 |
| Entity Type | Organization |
| Organization Name | MAXILLOFACIAL IMAGING OF BATON ROUGE, LLC |
| Practice Address |
7967 Office Park Blvd Baton Rouge LA 70809-7646 |
| Practice Telephone | 2252180225 |
| Mailing Telephone | 2252180225 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |
| Authorized Official Name | DR. DANIEL J RICHARDSON (PRESIDENT) |
| Authorized Official Telephone | 2252180225 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
3462 | LA | Ambulatory Health Care Facilities |
| Street Address |
7967 OFFICE PARK BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-7646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689171076 | Premier Mobile Dentistry of Va LLC | Clinic/Center | 6224 Province Ln, Baton Rouge, LA 70808-3574 | 2018-04-11 |
| 1700314325 | Courtney P. Jones, Dds, Apdc | Clinic/Center | 4802 Jones Creek Rd Ste D, Baton Rouge, LA 70817-1527 | 2017-05-26 |
| 1144617150 | Jacob Francis Henderson Dds LLC | Clinic/Center | 11424 Sullivan Rd Bldg B, Ste A, Baton Rouge, LA 70818-3615 | 2015-04-17 |
| 1578904827 | Doctors Dental 05, LLC | Clinic/Center | 7278 Highland Rd, Suite C, Baton Rouge, LA 70808-6607 | 2013-07-16 |
| 1699910869 | Fallin and Fallin Family Dentistry Coursey, LLC | Clinic/Center | 13707 Coursey Blvd, #a, Baton Rouge, LA 70817-1306 | 2008-12-02 |
| 1205034493 | Professional Dental Partners | Clinic/Center | 641 E Airport Ave Ste A, Baton Rouge, LA 70806-6545 | 2007-07-10 |
| 1134132459 | Bruns Family Dental Center LLC | Clinic/Center | 6860 Bluebonnet Blvd Ste B, Baton Rouge, LA 70810-1615 | 2006-08-15 |
| 1790390888 | Pearl Dental Group LLC | Clinic/Center | 4450 Bluebonnet Blvd Ste C, Baton Rouge, LA 70809-9649 | 2020-09-15 |
| 1497391841 | Theriot Family Dental Care-perkins LLC | Clinic/Center | 1930 Perkins Rd, Baton Rouge, LA 70808-1483 | 2019-11-20 |
| 1174165799 | Daniel R Shea Dds LLC | Clinic/Center | 1930 Perkins Rd, Baton Rouge, LA 70808-1483 | 2019-10-15 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on MAXILLOFACIAL IMAGING OF BATON ROUGE, 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.