DR EDMUND JEANSONNE JR DDS (NPI# 1942402755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942402755 |
| Entity Type | Organization |
| Organization Name | DR EDMUND JEANSONNE JR DDS |
| Practice Address |
111 Lakewood Dr Ste B Luling LA 70070-3002 |
| Practice Telephone | 9857858226 |
| Practice Fax Number | 9857852288 |
| Mailing Telephone | 9857858226 |
| Mailing Fax Number | 9857852288 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR EDMUND E JEANSONNE II (OWNER) |
| Authorized Official Telephone | 9857858226 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2215 | LA | Dental Providers |
| Street Address |
111 LAKEWOOD DR STE B |
| City | LULING |
| State | LA |
| Zip Code | 70070-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689913089 | Devereux and Nguyen LLC | Dentist | 111 Lakewood Dr Ste B, Luling, LA 70070-3002 | 2013-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447759337 | Kimberly Brown | Specialist/Technologist, Other | 13755 River Road, Luling, LA 70070 | 2018-02-06 |
| 1093213274 | Cherrelle Monique Williams | Counselor | 999 Paul Fredrick Street, Luling, LA 70070 | 2018-01-23 |
| 1699222174 | Latrenda Williams | Counselor | 203 Paul Maillard Road, Luling, LA 70070 | 2016-09-01 |
| 1184028052 | Matthew M Powers | Physical Therapist | 12371 Hwy 90, Ste D, Luling, LA 70070 | 2014-10-21 |
| 1215343959 | Regional Home Care South,llc | Home Health | 50 Wade Street, Ste 3, Luling, LA 70070 | 2014-07-02 |
| 1902143936 | E. Millman Inc | Social Worker | 13201 River Rd, Lvling, LA 70070 | 2013-01-10 |
| 1225369994 | Slm Nonemergency Medical Transportation | Non-emergency Medical Transport (VAN) | 737 Paul Maillard Road, Luling, LA 70070 | 2010-01-20 |
| 1972753192 | Grace Healthcare Management, LLC | Rehabilitation Hospital | 1125 Paul Maillard Road, Luling, LA 70070 | 2008-09-24 |
| 1528214871 | Monica Vial Benson, M.d., Apmc | Physical Medicine & Rehabilitation | 126 Post Drive, Luling, LA 70070 | 2008-08-18 |
| 1609089002 | Damaris D. Bastian, Dds General Dentistry, LLC | Dentist | 1518 Paul Mallard Rd, Luling, LA 70070 | 2007-05-08 |
| Find all providers in zip 70070 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689913089 | Devereux and Nguyen LLC | Dentist | 111 Lakewood Dr Ste B, Luling, LA 70070-3002 | 2013-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674116 | Allison Haynie | Dentist | 1914 E 70th St Ste H, Shreveport, LA 71105-5312 | 2020-09-18 |
| 1982229720 | Hannah Knott | Dentist | 1301 W Tunnel Blvd Ste B, Houma, LA 70360-2600 | 2020-06-08 |
| 1922562438 | Coastal Orthodontics, LLC | Dentist | 635 Enterprise Drive, Houma, LA 70360-7036 | 2019-01-29 |
| 1174053243 | Kyle Michael Maldonado | Dentist | 808 C M Fagan Dr, Hammond, LA 70403 | 2017-06-12 |
| 1689108664 | Matthew Oubre | Dentist | 3600 Dumaine St, New Orleans, LA 70119-3810 | 2017-04-17 |
| 1164955092 | Craig Murphy | Dentist | 7300 Lakeshore Drive Apartment #11, New Orleans, LA 70124 | 2017-04-07 |
| 1447794490 | Rebecca Payne | Dentist | 4010 Lonesome Rd, Mandeville, LA 70448-7085 | 2016-12-09 |
| 1780137703 | Eun Chee Lee | Dentist | 2330 Gause Blvd E Ste E, Slidell, LA 70461-4141 | 2016-07-26 |
| 1518364884 | Donovan P Soignet | Dentist | 1001-a East 7th St, Thibodaux, LA 70301 | 2014-12-02 |
| 1598184871 | Jessica Brown Ulmer | Dentist | 4429 Chastant St, Metairie, LA 70006-2053 | 2014-04-15 |
| 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.