DR. ABISOLA JEGEDE (NPI# 1962029934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962029934 |
| Entity Type | Individual |
| Full Name | DR. ABISOLA JEGEDE |
| Credential | DMD, MPH |
| Practice Address |
3411 Nelson Rd Ste 100 Lake Charles LA 70605-1240 |
| Practice Telephone | 3475835736 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 7109 | LA | Dental Providers |
| Street Address |
3411 NELSON RD STE 100 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582487 | Austin Grant O'quinn | Dentist | 4750 Nelson Rd, Lake Charles, LA 70605-5385 | 2018-06-18 |
| 1922511070 | Jacob Dent Dds Dentists of Lake Charles A Proffessional Corporation | Dentist | 4750 Nelson Rd Ste 100, Lake Charles, LA 70605-5382 | 2017-11-13 |
| 1023556370 | Heath Bryan Coleman, Dds of Louisiana II, A Professional Dental LLC | Dentist | 2625 Dillard Loop, Ste A, Lake Charles, LA 70607 | 2017-02-07 |
| 1881046928 | Angelica Maheia | Dentist | 4459 Nelson Rd Ste 120, Lake Charles, LA 70605-4136 | 2016-07-12 |
| 1114288321 | Jeffery Allen Hennigan | Dentist | 700 W Mcneese St, Lake Charles, LA 70605-5567 | 2012-06-04 |
| 1942566930 | Tommy G. Hillman, Dds, A Professional Dental Corporation | Dentist | 3437 Derek Dr, Lake Charles, LA 70607-7533 | 2012-04-04 |
| 1437483054 | Cecilia Chan Oubre | Dentist | 2802 Ryan St, Suite 26, Lake Charles, LA 70601-7393 | 2009-09-29 |
| 1598931388 | Beatriz Robles | Dentist | 5656 Nelson Rd, Suite 1c, Lake Charles, LA 70605-5258 | 2008-05-01 |
| 1386865939 | Michael Richard Sims | Dentist | 2805 Aster St., Lake Charles, LA 70601-8825 | 2007-05-01 |
| 1356484646 | Harry Kay Castle | Dentist | 1616 W Mcneese St, Lake Charles, LA 70605 | 2007-02-15 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
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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.