ENDODONTIC ASSOCIATES LLC (NPI# 1225102676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225102676 |
Entity Type | Organization |
Organization Name | ENDODONTIC ASSOCIATES LLC |
Practice Address |
190 Cross Gates Blvd Slidell LA 70461-4179 |
Practice Telephone | 5048991416 |
Mailing Telephone | 5048991416 |
Enumeration Date | 2006-11-19 |
Last Update Date | 2020-08-22 |
Authorized Official Name | THOMAS M FLINT (PARTNAS) |
Authorized Official Telephone | 5048991416 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316011760 | Endodontic Associates LLC | Dentist | 250 Meadowcrest St, Suite 200, Gretna, LA 70056-5257 | 2006-11-19 |
1902052012 | Endodontic Associates LLC | Dentist | 98-150 Kaonohi St, C118, Aiea, HI 96701-5047 | 2008-08-08 |
1770749285 | Endodontic Associates LLC | Dentist | 1441 Kapiolani Blvd, Suite 208, Honolulu, HI 96814-4402 | 2008-08-04 |
Street Address |
190 CROSS GATES BLVD |
City | SLIDELL |
State | LA |
Zip Code | 70461-4179 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063638054 | Scott E Bonson | Dentist | 190 Cross Gates Blvd, Slidell, LA 70461-4179 | 2007-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
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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 |
---|---|---|---|---|
1508982083 | John Jared Harmon | Dentist | 102 Village St, Suite B, Slidell, LA 70458-5354 | 2007-03-22 |
1063638054 | Scott E Bonson | Dentist | 190 Cross Gates Blvd, Slidell, LA 70461-4179 | 2007-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104455401 | Grace Elizabeth Beck Coburn | Dentist | 3100 Galleria, Suite 206, Metairie, LA 70001 | 2020-04-07 |
1326686866 | Acadiana Endodontics | Dentist | 4906 Ambassador Caffery Pkwy Bldg O, Lafayette, LA 70508-6962 | 2019-12-16 |
1013497262 | Crescent City Endodontics | Dentist | 250 Ochsner Blvd Ste 200, Gretna, LA 70056-5257 | 2018-08-17 |
1700239498 | Vincent Dicarlo II | Dentist | 9804 Bluebonnet Blvd Ste B, Baton Rouge, LA 70810-6479 | 2016-07-18 |
1114359346 | Regine Dyer | Dentist | 1317 Lake Ave Apt C213, Metairie, LA 70005-5907 | 2013-07-30 |
1356603963 | Chelsea Patricia Accardo | Dentist | 605 N Carrollton Ave, New Orleans, LA 70119-4743 | 2012-06-10 |
1013295815 | David M. Vieth Dds, A Professional Corporation | Dentist | 9018 Mansfield Rd, Shreveport, LA 71118-2608 | 2011-07-27 |
1578858254 | David M. Vieth Dds, A Professional Corporation | Dentist | 2222 Clearview Pkwy, Suite 1, Metairie, LA 70001-2437 | 2011-06-10 |
1295028751 | Michelle B Speier | Dentist | 11906 Lake Estates Ave, Baton Rouge, LA 70810-7320 | 2011-05-17 |
1861790461 | Joseph Pierce Braud Jr. | Dentist | 603 Rue De Lion, New Iberia, LA 70563-2114 | 2011-03-05 |
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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.