DR. KELLY MARIE MEILLEUR (NPI# 1760521496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760521496 |
| Entity Type | Individual |
| Full Name | DR. KELLY MARIE MEILLEUR |
| Credential | DDS |
| Practice Address |
2334 Gause Blvd E Slidell LA 70461-4141 |
| Practice Telephone | 9856459555 |
| Practice Fax Number | 9856459551 |
| Mailing Telephone | 9856459555 |
| Mailing Fax Number | 9856459551 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
4496 | LA | Dental Providers |
| Street Address |
2334 GAUSE BLVD E |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461-4141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154877686 | Edward C Massett Jr. Dds Apc | Dentist | 2334 Gause Blvd E, Slidell, LA 70461-4141 | 2016-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285851634 | William O'brien | Dentist | 2790 Gause Blvd E, Ste 1, Slidell, LA 70461-4246 | 2007-04-19 |
| 1477684819 | Thomas W Mabry | Dentist | 1241 7th St, Suite A, Slidell, LA 70458-2041 | 2007-03-08 |
| 1831220888 | Thomas W. Mabry, D.d.s., P.C. | Dentist | 1241 7th St, Suite A, Slidell, LA 70458-2041 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1548532930 | Jyoti Puri | Dentist | 1900 Perdido St Apt A54, New Orleans, LA 70112-1369 | 2012-02-01 |
| 1366714750 | Manrat Amornporncharoen | Dentist | 3624 S Loyola Dr Apt 256, Kenner, LA 70065-5499 | 2012-02-01 |
| 1538456207 | Eric Christopher Hebert | Dentist | 3521 N Arnoult Rd, Suite A, Metairie, LA 70002-3395 | 2011-07-01 |
| 1518296482 | Pooja Maney | Dentist | 1100, Florida Avenue, # 131, New Orleans, LA 70119 | 2009-12-23 |
| 1386842995 | Caesar Sweidan | Dentist | 5024 Keystone Blvd Ste A, Covington, LA 70433-7517 | 2007-07-05 |
| 1225242746 | Ana Margarita Saenz | Dentist | 337 Metairie Rd, Suite 301, Metairie, LA 70005-4338 | 2007-05-10 |
| 1871706812 | John Kenneth Legleu Jr. | Dentist | 12071 Bricksome Dr, Baton Rouge, LA 70816 | 2007-05-07 |
| 1104047976 | Hisham F Nasr | Dentist | 337 Metairie Road, Suite 301, Metairie, LA 70005 | 2007-05-01 |
| Find all providers with the same taxonomy | ||||
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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.