DOCTORS CHARLES GRADY HORNSBY JR, ROBERT LEO REGAN, AND MICHAEL CHARLE (NPI# 1649450594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649450594 |
| Entity Type | Organization |
| Organization Name | DOCTORS CHARLES GRADY HORNSBY JR, ROBERT LEO REGAN, AND MICHAEL CHARLE |
| Other Organization Name | BATON ROUGE ORAL AND FACIAL SURGERY |
| Practice Address |
5227 Flanders Dr Baton Rouge LA 70808-9169 |
| Practice Telephone | 2257693600 |
| Practice Fax Number | 2257673275 |
| Mailing Telephone | 2257693600 |
| Mailing Fax Number | 2257673275 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |
| Authorized Official Name | MRS. TERESA ANNE STAMPER (INSURANCE MANAGER) |
| Authorized Official Telephone | 2257693600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2719 | LA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Baton Rouge Oral and Facial Surgery | Doing Business As Name - Organization |
| Street Address |
5227 FLANDERS DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-9169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407824204 | Charles Grady Hornsby | Dentist | 5227 Flanders Dr, Baton Rouge, LA 70808-9169 | 2006-03-09 |
| 1104058049 | Flanders Drive Properties LLC | Dentist | 5227 Flanders Dr, Baton Rouge, LA 70808-9169 | 2009-08-11 |
| 1861691545 | Drs Towns Hornsby Regan and Casadaban | Dentist | 5227 Flanders Dr, Baton Rouge, LA 70808-9169 | 2007-07-13 |
| 1720056120 | Tooley Morris Towns | Dentist | 5227 Flanders Dr, Baton Rouge, LA 70808-9169 | 2006-03-10 |
| 1548238942 | Robert Leo Regan | Dentist | 5227 Flanders Dr, Baton Rouge, LA 70808-9169 | 2006-03-10 |
| 1497723118 | Michael C Casadaban | Dentist | 5227 Flanders Dr, Baton Rouge, LA 70808-9169 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184059818 | Yasser Saad Alali | Dentist | 5243 Butter Creek, Unit H7, Baton Rouge, LA 70809-0603 | 2013-09-12 |
| 1720354822 | John Ben Ragusa | Dentist | 16819 Cherry Bark Dr, Baton Rouge, LA 70810-5811 | 2012-03-22 |
| 1871882480 | Andrew Frederick Wetterlind | Dentist | 13730 Millerville Greens Blvd, Baton Rouge, LA 70816-1696 | 2011-04-04 |
| 1407065162 | Michael Emile O'brien Sr. | Dentist | 8000 G Sr I Rd, Baton Rouge, LA 70820-7403 | 2007-05-21 |
| 1659401966 | Vinci Oral & Facial Surgery Inc | Dentist | 7225 Jefferson Hwy, Baton Rouge, LA 70806 | 2007-03-06 |
| 1649321035 | Marshall Dexter Harrison Jr. | Dentist | 614 Connell Park Ln, Baton Rouge, LA 70806-6534 | 2007-01-14 |
| 1407824204 | Charles Grady Hornsby | Dentist | 5227 Flanders Dr, Baton Rouge, LA 70808-9169 | 2006-03-09 |
| 1760777288 | David Werner Barnett Dds, Md, LLC | Dentist | 7341 Jefferson Hwy, Suite A, Baton Rouge, LA 70806-8203 | 2011-06-13 |
| 1104058049 | Flanders Drive Properties LLC | Dentist | 5227 Flanders Dr, Baton Rouge, LA 70808-9169 | 2009-08-11 |
| 1194909705 | Baker K. Vinci | Dentist | 7225 Jefferson Hwy, Baton Rouge, LA 70806-8116 | 2007-12-19 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
Please comment or provide details below to improve the information on DOCTORS CHARLES GRADY HORNSBY JR, ROBERT LEO REGAN, AND MICHAEL CHARLE.
| 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.