EXCEPTIONAL DENTAL OF UPTOWN, LLC (NPI# 1538706015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538706015 |
| Entity Type | Organization |
| Organization Name | EXCEPTIONAL DENTAL OF UPTOWN, LLC |
| Practice Address |
5300 Tchoupitoulas St Ste F4 New Orleans LA 70115-1963 |
| Practice Telephone | 5042293342 |
| Practice Fax Number | 5042265508 |
| Mailing Telephone | 5042293342 |
| Mailing Fax Number | 5042265508 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | MRS. SAMANTHA COATS (INSURANCE CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5046092599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
5300 TCHOUPITOULAS ST STE F4 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70115-1963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028223 | Michael C O'hara | Social Worker | 2016 Jena Street, New Orleans, LA 70115 | 2020-09-22 |
| 1972156487 | Allison Leigh Champagne | Advanced Practice Midwife | 4500 Clara St, New Orleans, LA 70115 | 2019-07-23 |
| 1558838151 | Ouida Francis Forsyth | Speech-Language Pathologist | 3317 Chestnut Street, New Orleans, LA 70115 | 2018-11-01 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1396222188 | Leggio Dental Group, Apdc | Dentist | 4914 Magazine St., New Orleans, LA 70115 | 2018-07-24 |
| 1093202525 | Michael Anthony Bosco | Physical Therapist | 4500 Magazine St Ste 3, New Orleans, LA 70115 | 2018-04-19 |
| 1356854103 | Jencare Neighborhood Medical Metairie, LLC. | Non-Pharmacy Dispensing Site | Jencare Neighborhood Medical Center Uptown, 2820 Napoleon Avenue, Suite 590, New Orleans, LA 70115 | 2017-11-14 |
| 1669907879 | Quinton Franklin | Counselor | 2537 Marengo St, New Orleans, LA 70115 | 2017-04-25 |
| 1073050340 | Katy Elizabeth Thomassie | Case Manager/Care Coordinator | 1033 Marengo St, New Orleans, LA 70115 | 2017-01-25 |
| 1386187979 | John Perkins | Case Manager/Care Coordinator | 1926 Constantinople St., New Orleans, LA 70115 | 2016-11-30 |
| Find all providers in zip 70115 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082952 | Jimani Blackwell Dds LLC | Clinic/Center | 8015 Maple St, New Orleans, LA 70118-2738 | 2020-10-28 |
| 1790175701 | Tom Family Dentistry, LLC | Clinic/Center | 605 Dublin St, New Orleans, LA 70118-1019 | 2015-01-28 |
| 1336558311 | Duboue Dental LLC | Clinic/Center | 633 Carondelet St, New Orleans, LA 70130-3503 | 2014-08-04 |
| 1770898314 | Marillac Community Health Centers | Clinic/Center | 1030 Lesseps St., New Orleans, LA 70117 | 2010-08-06 |
| 1083843197 | Dr. Mark D. Anderson | Clinic/Center | 3625 Canal St, New Orleans, LA 70119-6110 | 2009-07-09 |
| 1578736690 | Mobile Dental Program | Clinic/Center | 1300 Perdido St, Room 8w03b, New Orleans, LA 70112-2125 | 2008-04-09 |
| 1538372636 | Best Bank Dental | Clinic/Center | 3422 Kabel Dr, New Orleans, LA 70131-6926 | 2007-05-07 |
| 1598824674 | St Claude Gentle Dental Center Inc | Clinic/Center | 4232 St Claude Ave, New Orleans, LA 70117 | 2006-12-06 |
| 1265983274 | Lsuhsc | Clinic/Center | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2016-10-14 |
| 1528412988 | Shira Glazer | Clinic/Center | 3525 Prytania St, Ste. 312, New Orleans, LA 70115-3500 | 2016-04-21 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70115 |
Please comment or provide details below to improve the information on EXCEPTIONAL DENTAL OF UPTOWN, LLC.
| 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.