ACADIANA ENDODONTICS (NPI# 1326686866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326686866 |
| Entity Type | Organization |
| Organization Name | ACADIANA ENDODONTICS |
| Practice Address |
4906 Ambassador Caffery Pkwy Bldg O Lafayette LA 70508-6962 |
| Practice Telephone | 3379810144 |
| Practice Fax Number | 3379810162 |
| Mailing Telephone | 3379810144 |
| Mailing Fax Number | 3379810162 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | LIA REAVES (PRACTICE MANAGER) |
| Authorized Official Telephone | 3379810144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Street Address |
4906 AMBASSADOR CAFFERY PKWY BLDG O |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| 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 |
|---|---|---|---|---|
| 1780983726 | Kool Smiles In-3, PC | Dentist | 4315 Commerce Dr, Suite 310, Lafayette, IN 47905-3822 | 2011-03-16 |
| 1083946834 | David M Vieth, Dds, A Professional Corporation | Dentist | 2001 Ne Evangeline Thruway, Lafayette, LA 70501 | 2010-02-04 |
| 1245367481 | Anthony Brian Rainwater | Dentist | 3909-b Ambassador Caffery Parkway, Lafayette, LA 70503 | 2007-02-27 |
| 1518004761 | Kenneth Shane Fowler | Dentist | 335 Doucet Rd, Ste A, Lafayette, LA 70503-3497 | 2007-01-30 |
| 1063580702 | Yas Dastmalchi | Dentist | 3505 School St, Lafayette, CA 94549-4505 | 2006-12-01 |
| 1619044021 | Reynold L Gaubert Dmd | Dentist | 3839 West Congress Street, Suite A, Lafayette, LA 70506 | 2006-11-29 |
| 1407939226 | Brent Michael Chauvin | Dentist | 221 Rue De Jean, Suite 214, Lafayette, LA 70508-8501 | 2006-10-23 |
| 1932294030 | John Edward Levin | Dentist | 312 W University Ave, Suite A, Lafayette, LA 70506-3648 | 2006-10-04 |
| 1760432611 | Sean P. Hart | Dentist | 1533 Kossuth St, Lafayette, IN 47905-1560 | 2006-05-11 |
| 1992703102 | Mark David Wood | Dentist | 1200 W South Boulder Rd, Suite 103, Lafayette, CO 80026-3546 | 2005-07-12 |
| 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.