JEFF D. ELLARD (NPI# 1376547364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376547364 |
| Entity Type | Individual |
| Full Name | JEFF D. ELLARD |
| Credential | D.D.S. |
| Practice Address |
541 Shadows Ln Ste B Baton Rouge LA 70806-6531 |
| Practice Telephone | 2259242010 |
| Practice Fax Number | 2259265872 |
| Mailing Telephone | 2259242010 |
| Mailing Fax Number | 2259265872 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3507 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA PROV. # | 810768 | 01 |
| Street Address |
541 SHADOWS LN STE B |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-6531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164677233 | Childrens Dental Care LLC | Dentist | 541 Shadows Ln, Suite B, Baton Rouge, LA 70806-6531 | 2008-11-17 |
| 1427188168 | John B Whitley Jr. | Dentist | 541 Shadows Ln, Suite A, Baton Rouge, LA 70806-6531 | 2007-03-06 |
| 1831238336 | Drs Coogan, Drumm and Melton | Pediatrics | 541 Shadows Ln, Suite C, Baton Rouge, LA 70806-6531 | 2007-02-05 |
| 1649299330 | Robert Lange Elliott Jr. | Surgery | 541 Shadows Ln, Ste C, Baton Rouge, LA 70806-6559 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898982 | Jeff Ellard Dds Apdc | Dentist | 541 Shadows Ln Ste B, Baton Rouge, LA 70806-6559 | 2020-07-13 |
| 1316364417 | Rebecca Day | Dentist | 4607 Sherwood Common Blvd Bldg 1, Baton Rouge, LA 70816-4892 | 2014-03-26 |
| 1346420866 | Associates In Pediatric Dentistry,llc | Dentist | 9000 Airline Hwy Ste 100, Baton Rouge, LA 70815-4183 | 2007-11-13 |
| 1023216546 | Kredenna Beverly | Dentist | 2314 Weymouth Dr., Ste. B, Baton Rouge, LA 70809-5207 | 2007-07-05 |
| 1932329380 | Paula Isabel Fonseca | Dentist | 8000 Gsri Ave, Baton Rouge, LA 70820 | 2007-04-26 |
| 1194888131 | Steven Edward Ripple | Dentist | 10522 S Glenstone Pl, Baton Rouge, LA 70810-2875 | 2006-12-19 |
| 1497818389 | Johnnie L Hunt | Dentist | 9804 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-6442 | 2006-12-19 |
| 1275612376 | Randall August Bergeron | Dentist | 7930 Wrenwood Blvd, Ste B, Baton Rouge, LA 70809-7700 | 2006-11-02 |
| 1720198864 | Robert L Delarosa | Dentist | 4607 Sherwood Common Blvd, Ste 100, Baton Rouge, LA 70816-4295 | 2006-08-30 |
| 1255307393 | Ronald David Landry | Dentist | 2726 Continental Dr, Baton Rouge, LA 70808-3207 | 2006-02-28 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on JEFF D. ELLARD.
| 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.