SALLY B. DALY DDS LLC (NPI# 1174993661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174993661 |
| Entity Type | Organization |
| Organization Name | SALLY B. DALY DDS LLC |
| Other Organization Name | FLEUR DE LIS MOBILE DENTAL |
| Practice Address |
10713 N Oak Hills Pkwy Suite B Baton Rouge LA 70810-2967 |
| Mailing Address |
Po Box 82380 Baton Rouge LA 70884-2380 |
| Practice Telephone | 2257675343 |
| Mailing Telephone | 2257675343 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Authorized Official Name | DR. SALLY BOWIE DALY (OWNER) |
| Authorized Official Telephone | 2257675343 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
4860 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1848603 | 05 | |
| LA | MCNA | 2959 | 01 |
| Other Name | Type Code |
|---|---|
| Fleur de Lis Mobile Dental | Doing Business As Name - Organization |
| Street Address |
10713 N OAK HILLS PKWY SUITE B |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-2967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801816012 | Yvette V. Bethea | Audiologist | 10713 N Oak Hills Pkwy, Suite A, Baton Rouge, LA 70810-2967 | 2006-07-20 |
| 1427447358 | Associates In Hearing LLC | Audiologist | 10713 N Oak Hills Pkwy, Ste A, Baton Rouge, LA 70810-2967 | 2015-01-15 |
| 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 | 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 |
| 1932490208 | Maxillofacial Imaging of Baton Rouge, LLC | Clinic/Center | 7967 Office Park Blvd, Baton Rouge, LA 70809-7646 | 2011-04-21 |
| 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 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
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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.