SOUTHERN SMILES OF IBERIA, INC (NPI# 1225355076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225355076 |
| Entity Type | Organization |
| Organization Name | SOUTHERN SMILES OF IBERIA, INC |
| Practice Address |
715 N Lewis St New Iberia LA 70563-2045 |
| Practice Telephone | 3372342186 |
| Practice Fax Number | 3372341573 |
| Mailing Telephone | 3372342186 |
| Mailing Fax Number | 3372341573 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |
| Authorized Official Name | DR. TIMOTHY L CHAUVIN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3372342186 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5394 | LA | Dental Providers |
| Street Address |
715 N LEWIS ST |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70563-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144315235 | Tony Lee Oberle | Chiropractor | 715 N Lewis St, Suite A, New Iberia, LA 70563-2019 | 2006-10-04 |
| 1811348774 | Hang Nguyen | Dentist | 715 N Lewis St, New Iberia, LA 70563-2045 | 2016-06-22 |
| 1639581663 | Michael James Cason | Dentist | 715 N Lewis St, New Iberia, LA 70563-2045 | 2014-05-26 |
| 1801189253 | A Turning Point Family & Community Services, Inc | Clinic/Center | 715 N Lewis St, Suite A, New Iberia, LA 70563-2045 | 2011-05-18 |
| 1881922219 | Snore & Sleep, LLC | Durable Medical Equipment & Medical Supplies | 715 N Lewis St, Ste B, New Iberia, LA 70563-2045 | 2009-11-23 |
| 1396072062 | Snore & Sleep, LLC | Clinic/Center | 715 N Lewis St, Ste B, New Iberia, LA 70563-2045 | 2009-11-17 |
| 1013179076 | Steven Arthur Swan | Dentist | 715 N Lewis St, New Iberia, LA 70563-2045 | 2008-06-30 |
| 1518136845 | Sleep Management LLC | Durable Medical Equipment & Medical Supplies | 715 N Lewis St, New Iberia, LA 70563-2045 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696812 | Check Point Urgent Care | Clinic/Center | 1108 Parkview Drive Suite A, New Iberia, LA 70563 | 2018-04-17 |
| 1497285399 | Pamela Thibeaux | Counselor | 125 Duperier Ave, New Iberia, LA 70563 | 2017-06-14 |
| 1659662625 | Clyde Edward Landrum | Otolaryngology | 41 Shadows Bend, New Iberia, LA 70563 | 2011-04-26 |
| 1487956538 | Baker Suraj, Inc | Internal Medicine | 602 N. Lewis Ave., Suite 100, New Iberia, LA 70563 | 2010-11-23 |
| 1619174208 | Sleep Solutions of New Iberia, LLC | Clinic/Center | 1100 Andre St Ste 200b, New Iberia, LA 70563 | 2007-06-28 |
| 1134253768 | Mark Steve Derouen | Dentist | 2301 Old Jeanerette Road, New Iberia, LA 70563 | 2007-03-15 |
| 1851441927 | Nancy Ann Schneider | Nurse Practitioner | 1302 Ed Broussard Road, New Iberia, LA 70563 | 2007-01-11 |
| 1538245980 | Morgan & Associates | Durable Medical Equipment & Medical Supplies | 2213 Old Jeanerette Road, New Iberia, LA 70563 | 2006-10-28 |
| 1528143955 | Rebecca H Charpentier | Dentist | 600 Rue De Onetta, New Iberia, LA 70563 | 2006-10-26 |
| 1518054709 | Southern Rx | Pharmacy | 1033 Andre St, New Iberia, LA 70563 | 2006-10-07 |
| Find all providers in zip 70563 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174937312 | Luke Jordan | Dentist | 2217 Old Jeanerette Rd, New Iberia, LA 70563-8687 | 2014-06-16 |
| 1851666416 | Matthew Benjamin Brady | Dentist | 1050 E Admiral Doyle Dr, New Iberia, LA 70560-6711 | 2012-03-15 |
| 1134253768 | Mark Steve Derouen | Dentist | 2301 Old Jeanerette Road, New Iberia, LA 70563 | 2007-03-15 |
| 1821125451 | Michael P Tuite | Dentist | 441 Charles St, New Iberia, LA 70560-3773 | 2007-02-28 |
| 1487790929 | Theriot Family Dental Care II | Dentist | 112 Church Alley, New Iberia, LA 70560 | 2007-01-30 |
| 1275684532 | Wayne J Gary II | Dentist | 401 N Lewis St, New Iberia, LA 70563-2013 | 2007-01-15 |
| 1568536852 | Antoine Todd Babineaux | Dentist | 210 Iberia Street, New Iberia, LA 70560 | 2006-11-20 |
| 1528143955 | Rebecca H Charpentier | Dentist | 600 Rue De Onetta, New Iberia, LA 70563 | 2006-10-26 |
| 1922197169 | John T. Mahoney | Dentist | 2117 Old Jeanerette Rd, New Iberia, LA 70563-2910 | 2006-10-12 |
| 1679661995 | Donald Wayne Henagan | Dentist | 600 Rue De Lion, New Iberia, LA 70563-2113 | 2006-10-11 |
| Find all providers in NEW IBERIA | ||||
| City | NEW IBERIA |
| Zip Code | 70563 |
Please comment or provide details below to improve the information on SOUTHERN SMILES OF IBERIA, INC.
| 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.