DR. JACOB FRANCIS HENDERSON (NPI# 1205960424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205960424 |
| Entity Type | Individual |
| Full Name | DR. JACOB FRANCIS HENDERSON |
| Credential | D.D.S. |
| Practice Address |
11424 Sullivan Rd Bldg B Suite A Baton Rouge LA 70817 |
| Practice Telephone | 2252616645 |
| Practice Fax Number | 2252629061 |
| Mailing Telephone | 2252616645 |
| Mailing Fax Number | 2252629061 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5406 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482553 | Jacob Henderson | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2020-09-16 |
| 1528697596 | Jacob James Henderson | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-04-02 |
| 1891351649 | Jacob Henderson | Physical Therapist | 2106 Executive Dr, Hampton, VA 23666-2402 | 2019-05-17 |
| 1598993628 | Jacob Henderson | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2009-06-26 |
| Street Address |
11424 SULLIVAN RD BLDG B SUITE A |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609934488 | Central Dental Care | Dentist | 11424 Sullivan Rd Bldg B Suite A, Baton Rouge, LA 70818-3615 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
| Find all providers in zip 70817 | ||||
| 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 |
|---|---|---|---|---|
| 1932724572 | Jason Allen Simms | Dentist | 5480 Sleepy Hollow Dr, Baton Rouge, LA 70817-2142 | 2020-06-09 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1417448192 | Sabrina Portwood | Dentist | 9069 Siegen Ln, Baton Rouge, LA 70810-1951 | 2018-05-29 |
| 1124531140 | Lee Daniel Casey,d.m.d., L.L.C. | Dentist | 2137 Quail Run, Baton Rouge, LA 70808-4289 | 2017-11-13 |
| 1871006908 | Jacob Dent, Dds Millerville Dental Group A Professional Corporation | Dentist | 2121 Millerville Rd Ste A, Baton Rouge, LA 70816-1401 | 2017-11-11 |
| 1801318225 | Tiffany Sykes | Dentist | 13730 Millerville Greens Blvd # 1, Baton Rouge, LA 70816-1696 | 2017-07-07 |
| 1932645041 | Sally B Daly Dds LLC | Dentist | 11822 Justice Avenue #84, Baton Rouge, LA 70816 | 2017-01-12 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1134578693 | Elise Kaylin King Norris | Dentist | 554 Colonial Dr, Baton Rouge, LA 70806-6552 | 2016-06-06 |
| 1093179269 | Audubon Family Dentistry | Dentist | 2925 Brakley Dr, Baton Rouge, LA 70816-2305 | 2016-04-13 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70817 |
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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.