TOM FAMILY DENTISTRY, LLC (NPI# 1790175701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790175701 |
| Entity Type | Organization |
| Organization Name | TOM FAMILY DENTISTRY, LLC |
| Other Organization Name | UPTOWN DENTAL |
| Practice Address |
605 Dublin St New Orleans LA 70118-1019 |
| Mailing Address |
6817 General Haig St New Orleans LA 70124-4028 |
| Practice Telephone | 2254130022 |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |
| Authorized Official Name | DR. MELISSA GRAY TOM (MANAGER/DENTIST) |
| Authorized Official Telephone | 2254130022 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5985 | LA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Uptown Dental | Doing Business As Name - Organization |
| Street Address |
605 DUBLIN ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70118-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791831 | The Administrators of The Tulane Educational Fund | Clinic/Center | 200 Broadway Avenue, Suite 108, New Orleans, LA 70118 | 2020-08-19 |
| 1730674557 | Louisiana Department of Health, Department of Health and Hospitals | Skilled Nursing Facility | 612 Henry Clay Ave., New Orleans, LA 70118 | 2018-06-25 |
| 1588153167 | Kimberly Felicia Fields | Behavior Technician | 733 Dante St., New Orleans, LA 70118 | 2018-05-09 |
| 1275033029 | Antonia Jennice Hollins | Behavior Technician | 733 Dante, New Orleans, LA 70118 | 2018-02-19 |
| 1922521467 | Amy Mcdonald | Specialist/Technologist | 2950 Ben Weiner Dr., Tulane Univ., Athletic Training Rm, 1st Floor, New Orleans, LA 70118 | 2017-07-17 |
| 1760910848 | Tyler Tunnell | Specialist/Technologist | James Wilson Center, 333 Ben Weiner Drive, New Orleans, LA 70118 | 2017-06-01 |
| 1538692801 | Shneitha Beasley | Counselor | 2619 Leonidas St, New Orleans, LA 70118 | 2017-04-04 |
| 1467826966 | Ethan Alan Solger | Specialist/Technologist | 333 James W Wilson Jr Center, New Orleans, LA 70118 | 2015-11-20 |
| 1225402878 | Heather Ravner | Student in an Organized Health Care Education/Training Program | Ben Weiner Drive, James W. Wilson Jr. Center, New Orleans, LA 70118 | 2015-11-19 |
| 1558735142 | Albert Charles Lindon IIi | Specialist/Technologist | 333 Ben Weiner Dr, New Orleans, LA 70118 | 2015-11-19 |
| Find all providers in zip 70118 | ||||
| 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 |
| 1538706015 | Exceptional Dental of Uptown, LLC | Clinic/Center | 5300 Tchoupitoulas St Ste F4, New Orleans, LA 70115-1963 | 2019-12-04 |
| 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 | 70118 |
Please comment or provide details below to improve the information on TOM FAMILY DENTISTRY, 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.