DR. EDWARD LAWRENCE DONALDSON JR. (NPI# 1417015512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417015512 |
| Entity Type | Individual |
| Full Name | DR. EDWARD LAWRENCE DONALDSON JR. |
| Credential | DDS |
| Practice Address |
2960 E Gause Blvd Slidell LA 70461 |
| Practice Telephone | 9856413988 |
| Practice Fax Number | 9856462536 |
| Mailing Telephone | 9856413988 |
| Mailing Fax Number | 9856462536 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
297296 | MS | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2205 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1822051 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598849705 | Edward Lee Donaldson | Dentist | 1631 Wetzel Ave Bldg 815, Ft Carson, CO 80913-4095 | 2006-10-24 |
| Street Address |
2960 E GAUSE BLVD |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093881732 | Tessa M Smith | Dentist | 2960 E Gause Blvd, Slidell, LA 70461 | 2006-11-27 |
| 1851459911 | Melissa Morgan Ritter | Dentist | 2960 E Gause Blvd, Slidell, LA 70461 | 2006-12-04 |
| 1124186226 | Jill M Donaldson | Dentist | 2960 E Gause Blvd, Slidell, LA 70461 | 2006-12-04 |
| 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 |
| Find all providers in zip 70461 | ||||
| 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 |
|---|---|---|---|---|
| 1164668968 | Kid's Dental Zone Slidell LLC | Dentist | 1128 Old Spanish Trl, Slidell, LA 70458-5020 | 2008-12-29 |
| 1093881732 | Tessa M Smith | Dentist | 2960 E Gause Blvd, Slidell, LA 70461 | 2006-11-27 |
| 1073896585 | Bippo's New Orleans LLC | Dentist | 2960 Gause Blvd E, Slidell, LA 70461-4153 | 2011-09-21 |
| 1245445915 | Edward L. Donaldson, Jr.,dds Apdc and Jill M Donaldson, Dds Apdc | Dentist | 2960 Gause Blvd E, Slidell, LA 70461-4153 | 2007-05-14 |
| 1124186226 | Jill M Donaldson | Dentist | 2960 E Gause Blvd, Slidell, LA 70461 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898982 | Jeff Ellard Dds Apdc | Dentist | 541 Shadows Ln Ste B, Baton Rouge, LA 70806-6559 | 2020-07-13 |
| 1619539483 | Nasrin Danaeifar | Dentist | 2164 Robin St Apt A, New Orleans, LA 70122-4048 | 2019-07-02 |
| 1306308051 | Erin Doody | Dentist | 4 Brittany Pl, Arabi, LA 70032-1356 | 2019-04-02 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1780181180 | Amanda Hall Begue | Dentist | 159 Longview Dr Ste A, Destrehan, LA 70047-5076 | 2018-04-11 |
| 1134625114 | Tyler Roberto Mesa | Dentist | 189 Greenbrier Blvd Ste A, Covington, LA 70433-7297 | 2018-03-30 |
| 1912407842 | Maturin Pediatric Dentistry LLC | Dentist | 14639 Airline Hwy Ste 111, Gonzales, LA 70737-6632 | 2018-02-16 |
| 1972056638 | Ross H. Dies, J. Cody Cowen, Dds, Benjamin A. Beach, Dds and Bryan Ste | Dentist | 3412 Barksdale Blvd, 100, Bossier City, LA 71112-3800 | 2016-07-29 |
| 1386023190 | Christopher Savoy | Dentist | 306 N Lewis St Ste 2, New Iberia, LA 70563-2924 | 2015-05-26 |
| 1235538075 | Austin Joseph Mcmurphy | Dentist | 6315 Hurst St, New Orleans, LA 70118-6162 | 2014-08-18 |
| Find all providers with the same taxonomy | ||||
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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.