DR. LESLIE J JACOBS (NPI# 1720115058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720115058 |
| Entity Type | Individual |
| Full Name | DR. LESLIE J JACOBS |
| Credential | DDS |
| Practice Address |
113 Rue Fontaine Lafayette LA 70508 |
| Practice Telephone | 3375001500 |
| Mailing Telephone | 3375001500 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5189 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | DENTAL INSURANCES | 452452184 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093868101 | Leslie P. Jacobs | Social Worker | 547 Saw Mill River Rd Ste Ll1, Ardsley, NY 10502-2155 | 2007-01-19 |
| 1043320757 | Leslie Jacobs | Physical Therapy Assistant | 12 Industrial Pkwy, Brunswick, ME 04011-7314 | 2006-08-30 |
| 1891805677 | Leslie T Jacobs | Dentist | 811 East Main Street, Spartanburg, SC 29302 | 2006-08-30 |
| 1700420163 | Leslie Jacobs | Marriage & Family Therapist | 1303 San Carlos Ave, San Carlos, CA 94070-2317 | 2019-10-29 |
| 1952504292 | Leslie C. Jacobs | Nurse Anesthetist, Certified Registered | 901 E 5th St, Washington, MO 63090-3127 | 2007-06-06 |
| 1356494942 | Leslie Ann Jacobs | Social Worker | 1956 Ohio Ave, Connersville, IN 47331-2858 | 2007-01-19 |
| 1770644684 | Leslie Jacobs | Specialist | 1509 Atkinson Rd, Suite 1100, Lawrenceville, GA 30043-7986 | 2006-12-13 |
| 1831262393 | Leslie Jacobs | Internal Medicine | 1389 Galleria Dr, Suite 100, Henderson, NV 89014-6685 | 2006-11-15 |
| Street Address |
113 RUE FONTAINE |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| 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 |
|---|---|---|---|---|
| 1629407770 | Shilpa Nileshwar | Dentist | 210 Beaullieu Dr, Lafayette, LA 70508-7226 | 2013-11-08 |
| 1932426970 | Barnali Roy | Dentist | 3501 School St, Lafayette, CA 94549-4505 | 2010-04-30 |
| 1396974655 | S. Troy Miller Dds Apdc | Dentist | 500 Dover Blvd Ste 300, Lafayette, LA 70503-5000 | 2009-07-08 |
| 1326211863 | Pediatric Dental Group of Lafayette | Dentist | 300 Exempla Cir Ste 460, Lafayette, CO 80026 | 2008-04-04 |
| 1912085903 | Roland R Ditto Sr. | Dentist | 2347 Cason St, Lafayette, IN 47904-2670 | 2006-11-01 |
| 1689758096 | Carl B Gonsoulin | Dentist | 126 Hospital Dr, Lafayette, LA 70503-2819 | 2006-10-24 |
| 1902855398 | William A Keaty | Dentist | 350 Doucet Rd, Lafayette, LA 70503-3415 | 2006-05-10 |
| 1417577461 | Hannah Boudreaux Noto | Dentist | 185 S Beadle Rd, Lafayette, LA 70508-4287 | 2020-04-20 |
| 1871034397 | R K Nassiri, Dds, Msd, Inc | Dentist | 3466 Mt Diablo Blvd, Suite C207, Lafayette, CA 94549-7106 | 2017-03-16 |
| 1386182418 | Anita J Gouri Dds LLC | Dentist | 350 Doucet Rd, Ste 101, Lafayette, LA 70503-3415 | 2017-02-09 |
| Find all providers in LAFAYETTE | ||||
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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.