NICOLE SUBERVILLE WASCOM (NPI# 1982807632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982807632 |
| Entity Type | Individual |
| Full Name | NICOLE SUBERVILLE WASCOM |
| Credential | D.D.S. |
| Practice Address |
22464 Highway 435 Abita Springs LA 70420-2206 |
| Practice Telephone | 9858937835 |
| Practice Fax Number | 9858933867 |
| Mailing Telephone | 9858937835 |
| Mailing Fax Number | 9858933867 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5288 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1852881 | 05 |
| Street Address |
22464 HIGHWAY 435 |
| City | ABITA SPRINGS |
| State | LA |
| Zip Code | 70420-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588721179 | Louis P. Nogues, IIi, Dds, A Professional Corp. | Dentist | 22464 Highway 435, Abita Springs, LA 70420-2206 | 2007-01-02 |
| 1396875324 | Eduardo Menendez | Dentist | 22464 Highway 435, Abita Springs, LA 70420-2206 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700630 | Kristin Leonie Mayer Couch | Registered Nurse | 25010 Burvant Street, Abita Springs, LA 70420 | 2020-11-08 |
| 1679174452 | Donna Shartil Golman | Driver | 73350 Birdie Street, Abita Springs, LA 70420 | 2020-11-06 |
| 1528510351 | Simone Delaune Nolan | Counselor | 302 Lei Lani Ave, Abita Springs, LA 70420 | 2016-10-27 |
| 1053660456 | Andrew Wayne Martin Sr. | Radiology | 121 St. Charles Ct., Abita Springs, LA 70420 | 2012-08-31 |
| 1225243157 | Michael Joseph Petrosky | Chiropractor | 71623 Hickory St., Abita Springs, LA 70420 | 2007-05-14 |
| 1477698801 | Steven E Pfingsten | Dentist | 71623 Hickory Street, Abita Springs, LA 70420 | 2007-02-21 |
| 1609879659 | Glenda Carol Breakfell Petroff | Nurse Practitioner | 22070 Highway 59, Abita Springs, LA 70420 | 2005-05-23 |
| 1235464488 | Abita Chiropractic LLC | Chiropractor | 71623 Hickory St., Abita Springs, LA 70420 | 2009-10-06 |
| 1881135101 | William Landry Baumgartner | Internal Medicine | 75002 Woodland Rd, Abita Springs, LA 70420-2956 | 2017-03-20 |
| 1588966519 | Eric Taylor Baumgartner | Preventive Medicine | 75166 Woodland Rd, Abita Springs, LA 70420-2958 | 2010-11-24 |
| Find all providers in zip 70420 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710125216 | Abita Dental Care LLC | Dentist | 71623 Hickory St, Abita Springs, LA 70420-3850 | 2009-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322925 | E Edward Hood Jr, Dds - Livingston, Pllc | Dentist | 29160 S Frost Rd, Livingston, LA 70754-2620 | 2020-10-05 |
| 1962029934 | Abisola Jegede | Dentist | 3411 Nelson Rd Ste 100, Lake Charles, LA 70605-1240 | 2020-06-25 |
| 1932724572 | Jason Allen Simms | Dentist | 5480 Sleepy Hollow Dr, Baton Rouge, LA 70817-2142 | 2020-06-09 |
| 1659995413 | Tami Thuy Nguyen | Dentist | 5220 Lapalco Blvd, Marrero, LA 70072-4248 | 2020-06-07 |
| 1306460001 | Bfd Madisonville Associates LLC | Dentist | 109 Pine Creek Drive, Suite B, Madisonville, LA 70447 | 2020-05-29 |
| 1891317491 | Hood Dental Care | Dentist | 32871 La Highway 16, Denham Springs, LA 70706-0960 | 2020-05-18 |
| 1609415561 | Jacob Dent, D.d.s., Dentists of Mandeville, A Professional Corporation | Dentist | 3421 E Causeway Approach Ste A, Mandeville, LA 70448-3447 | 2019-12-24 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1366004186 | Hunter Brooks | Dentist | 107 Suwanee Rd, Lafayette, LA 70503-6111 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
| City | ABITA SPRINGS |
| Zip Code | 70420 |
Please comment or provide details below to improve the information on NICOLE SUBERVILLE WASCOM.
| 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.