DR. MARK RANDAL COMEAUX (NPI# 1083739486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083739486 |
| Entity Type | Individual |
| Full Name | DR. MARK RANDAL COMEAUX |
| Credential | DDS |
| Practice Address |
3839 West Congress Street Suite D Lafayette LA 70506-6021 |
| Practice Telephone | 3379890267 |
| Practice Fax Number | 3379899030 |
| Mailing Telephone | 3379890267 |
| Mailing Fax Number | 3379899030 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3129 | LA | Dental Providers |
| Street Address |
3839 WEST CONGRESS STREET SUITE D |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619044021 | Reynold L Gaubert Dmd | Dentist | 3839 West Congress Street, Suite A, Lafayette, LA 70506 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598803777 | Stephen A Cook | Dentist | 2114 Scott St, Lafayette, IN 47904-2932 | 2007-02-01 |
| 1447335682 | Eric Anton Martin | Dentist | 895 Moraga Rd Ste 6, Lafayette, CA 94549-5039 | 2006-10-26 |
| 1104929306 | James M Finley | Dentist | 185 S Beadle Road, Finley Periodontics Pllc, Lafayette, LA 70508 | 2006-09-06 |
| 1174537641 | Phil D Mayers | Dentist | 3703 Johnston St, Lafayette, LA 70503-3805 | 2006-07-28 |
| 1487020194 | Bay Area Dental Implant Center, Lp | Dentist | 895 Moraga Rd, Suite 11, Lafayette, CA 94549-5094 | 2015-08-17 |
| 1598880239 | Bryan S. Pearson | Dentist | 3839 W Congress St, Suite D, Lafayette, LA 70506-6000 | 2007-03-20 |
| 1932263506 | Periodontics Associates, LLP | Dentist | 3839 W Congress St, Suite D, Lafayette, LA 70506-6000 | 2006-12-20 |
| 1730252305 | Scott Reef | Dentist | 415 N 26th St, Suite 303, Lafayette, IN 47904-2895 | 2006-11-15 |
| 1841363421 | Alexander & Reef Dentistry Partnership | Dentist | 415 N 26th St, Suite 303, Lafayette, IN 47904-2895 | 2006-11-15 |
| 1053484600 | David Alexander | Dentist | 415 N 26th St, Suite 303, Lafayette, IN 47904-2895 | 2006-11-15 |
| Find all providers in LAFAYETTE | ||||
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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.