DR DENIS E SIMON III, DR MICHAEL SCOTT BOND AND GWENDOLYN DENISE CO (NPI# 1962571018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962571018 |
| Entity Type | Organization |
| Organization Name | DR DENIS E SIMON III, DR MICHAEL SCOTT BOND AND GWENDOLYN DENISE CO |
| Other Organization Name | DR.'S SIMON, BOND AND COBRETT LLC |
| Practice Address |
9804 Bluebonnet Blvd Suite B Baton Rouge LA 70810-6442 |
| Practice Telephone | 2257663061 |
| Practice Fax Number | 2257663199 |
| Mailing Telephone | 2257663061 |
| Mailing Fax Number | 2257663199 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2009-07-27 |
| Authorized Official Name | DR. DENIS E SIMON III (PRESIDENT) |
| Authorized Official Telephone | 2257663061 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
2873 | LA | Dental Providers |
| Other Name | Type Code |
|---|---|
| DR.'S SIMON, BOND AND COBRETT LLC | Doing Business As Name - Organization |
| Street Address |
9804 BLUEBONNET BLVD SUITE B |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-6442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538105689 | Gwendolyn D Corbett | Dentist | 9804 Bluebonnet Blvd, Suite B, Baton Rouge, LA 70810-6442 | 2006-06-20 |
| 1972708238 | Brooke M Wood | Dentist | 9804 Bluebonnet Blvd, Ste A, Baton Rouge, LA 70810-6442 | 2007-06-18 |
| 1568494292 | Denis E Simon IIi | Dentist | 9804 Bluebonnet Blvd, Suite B, Baton Rouge, LA 70810-6442 | 2006-07-06 |
| 1609804509 | Michael S Bond | Dentist | 9804 Bluebonnet Blvd, Suite B, Baton Rouge, LA 70810-6442 | 2006-06-29 |
| 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 |
|---|---|---|---|---|
| 1700239498 | Vincent Dicarlo II | Dentist | 9804 Bluebonnet Blvd Ste B, Baton Rouge, LA 70810-6479 | 2016-07-18 |
| 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 |
| 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 |
Please comment or provide details below to improve the information on DR DENIS E SIMON III, DR MICHAEL SCOTT BOND AND GWENDOLYN DENISE CO.
| 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.