MOBILE DENTAL PROGRAM


Address: 1300 Perdido St, Room 8w03b, New Orleans, LA 70112-2125
Phone: 5046582584

MOBILE DENTAL PROGRAM (NPI# 1578736690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578736690
Entity Type Organization
Organization Name MOBILE DENTAL PROGRAM
Practice Address 1300 Perdido St
Room 8w03b
New Orleans
LA 70112-2125
Practice Telephone 5046582584
Mailing Telephone 5046582584
Enumeration Date 2008-04-09
Last Update Date 2008-04-09
Authorized Official Name GERMAINE TILLAGE THOMPSON (ACCOUNTANT/FISCAL MANAGER)
Authorized Official Telephone 5046582501
Is Organization Subpart Y
Parent Organization Name CITY OF NEW ORLEANS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 1880051 05

Office Location

Street Address 1300 PERDIDO ST
ROOM 8W03B
City NEW ORLEANS
State LA
Zip Code 70112-2125

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457857377 1029 Transportation Contractor 1300 Perdido St, New Orleans, LA 70112-2125 2018-03-30
1619142486 Douglas William Cross Dentist 1300 Perdido St, Rm 8w03b-dental, New Orleans, LA 70112-2125 2008-04-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346867306 Suayp Oygen Student in an Organized Health Care Education/Training Program 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 2020-06-25
1073132692 Bianca Ngwe Ndeso Fomukong Student in an Organized Health Care Education/Training Program 450a South Claiborne, Room 521, New Orleans, LA 70112 2020-04-14
1184253510 Arya Mohammad Reza Loghmani Student in an Organized Health Care Education/Training Program 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 2020-04-07
1447889365 Kinnah Menta Hughes Student in an Organized Health Care Education/Training Program 1900 Gravier Street, New Orlens, LA 70112 2020-04-02
1396373924 Carson Mills Student in an Organized Health Care Education/Training Program Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 2020-03-30
1417585134 Pate Duddleston Student in an Organized Health Care Education/Training Program 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 2020-03-29
1467090084 Camilla Henderson Technician, Pathology 1415 Tulane Hospital, New Orleans, LA 70112 2019-12-13
1942850615 Shannon R. Bierma Psychologist 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 2019-09-16
1326608035 Julia Obehi Aigbogun Student in an Organized Health Care Education/Training Program Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 2019-06-14
1477016970 Nicole Marie Crozat Student in an Organized Health Care Education/Training Program Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 2019-04-11
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760082952 Jimani Blackwell Dds LLC Clinic/Center 8015 Maple St, New Orleans, LA 70118-2738 2020-10-28
1538706015 Exceptional Dental of Uptown, LLC Clinic/Center 5300 Tchoupitoulas St Ste F4, New Orleans, LA 70115-1963 2019-12-04
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
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
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Competitor

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City NEW ORLEANS
Zip Code 70112

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Dataset Information

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.

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