DEEP SOUTH FAMILY DENTISTRY (NPI# 1508392069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508392069 |
| Entity Type | Organization |
| Organization Name | DEEP SOUTH FAMILY DENTISTRY |
| Practice Address |
1160 Hwy 51 North Ponchatoula LA 70454 |
| Practice Telephone | 9853869936 |
| Mailing Telephone | 9853869936 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |
| Authorized Official Name | GREGG MAY (OWNER/DENTIST) |
| Authorized Official Telephone | 9853869936 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5258 | LA | Dental Providers |
| Street Address |
1160 HWY 51 NORTH |
| City | PONCHATOULA |
| State | LA |
| Zip Code | 70454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093478 | Alexis Kylie Spence | Physician Assistant | 1668 Us 51 N, Ponchatoula, LA 70454 | 2020-11-02 |
| 1982246740 | Stephanie R Mason | Pharmacist | 1331 Us-51 Bus, Ponchatoula, LA 70454 | 2019-10-14 |
| 1659879070 | Jessica Barrett | Behavioral Analyst | 21 Industrial Park Blvd Bldg A, Ponchatoula, LA 70454 | 2018-01-31 |
| 1124531397 | Mary F Smith | Counselor | 100 N 13th St, Ponchatoula, LA 70454 | 2017-11-09 |
| 1831625201 | Endia Geter | Counselor | 665 E Beech St, Ponchatoula, LA 70454 | 2017-05-04 |
| 1720539299 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15212 Wadesboro Dr., Ponchatoula, LA 70454 | 2016-10-20 |
| 1376993360 | Latasha Williams | Counselor | 40048 Sugarberry Drive, Ponchatoula, LA 70454 | 2016-06-21 |
| 1770931503 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24345 Harvey Lavigne Road, Ponchatoula, LA 70454 | 2016-06-02 |
| 1881049211 | Evergreen Presbyterian Ministries, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 East Pecan St., Ponchatoula, LA 70454 | 2016-05-04 |
| 1134592025 | Shakeisha Mckay | Counselor | 22141 South Ridge Dr., Ponchatoula, LA 70454 | 2015-11-02 |
| Find all providers in zip 70454 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322925 | E Edward Hood Jr, Dds - Livingston, Pllc | Dentist | 29160 S Frost Rd, Livingston, LA 70754-2620 | 2020-10-05 |
| 1962029934 | Abisola Jegede | Dentist | 3411 Nelson Rd Ste 100, Lake Charles, LA 70605-1240 | 2020-06-25 |
| 1932724572 | Jason Allen Simms | Dentist | 5480 Sleepy Hollow Dr, Baton Rouge, LA 70817-2142 | 2020-06-09 |
| 1659995413 | Tami Thuy Nguyen | Dentist | 5220 Lapalco Blvd, Marrero, LA 70072-4248 | 2020-06-07 |
| 1306460001 | Bfd Madisonville Associates LLC | Dentist | 109 Pine Creek Drive, Suite B, Madisonville, LA 70447 | 2020-05-29 |
| 1891317491 | Hood Dental Care | Dentist | 32871 La Highway 16, Denham Springs, LA 70706-0960 | 2020-05-18 |
| 1609415561 | Jacob Dent, D.d.s., Dentists of Mandeville, A Professional Corporation | Dentist | 3421 E Causeway Approach Ste A, Mandeville, LA 70448-3447 | 2019-12-24 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1366004186 | Hunter Brooks | Dentist | 107 Suwanee Rd, Lafayette, LA 70503-6111 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
| City | PONCHATOULA |
| Zip Code | 70454 |
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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.