DR. CHARLES MARION JOUANDOT (NPI# 1962414524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962414524 |
| Entity Type | Individual |
| Full Name | DR. CHARLES MARION JOUANDOT |
| Credential | D.D.S. |
| Practice Address |
3809 Jefferson Hwy Jefferson LA 70121-1625 |
| Practice Telephone | 5048332211 |
| Practice Fax Number | 5048280802 |
| Mailing Telephone | 5048332211 |
| Mailing Fax Number | 5048280802 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2012-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5483 | LA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1854832 | 05 |
| Street Address |
3809 JEFFERSON HWY |
| City | JEFFERSON |
| State | LA |
| Zip Code | 70121-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639389471 | Trang T Pham | Dentist | 3809 Jefferson Hwy, Jefferson, LA 70121-1625 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437772191 | Carlos Andres Cevallos | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2020-05-28 |
| 1497375257 | Vipin Varghese | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Bh 629, New Orleans, LA 70121 | 2020-04-22 |
| 1790255396 | Irianne Nicholas | Specialist/Technologist | 1201 South Clearview Parkway, Jefferson, LA 70121 | 2018-11-27 |
| 1225504889 | George Andrews | Orthopaedic Surgery | Ochsner Health System, 1514 Jefferson Highway, New Orleans, LA 70121 | 2018-10-22 |
| 1295213494 | Shima Abdulhameed A Aziz | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Highway, Ochsner Clinic Foundation, New Orleans, LA 70121 | 2018-07-31 |
| 1396238721 | Treasure S Lucas | Case Manager/Care Coordinator | 827 Causeway Blvd Ste 206, Jefferson, LA 70121 | 2018-06-11 |
| 1396240909 | Jasmine Kaur Bahd | Student in an Organized Health Care Education/Training Program | 1401 Jefferson Highway, Academic Center 1st Floor, New Orleans, LA 70121 | 2018-03-26 |
| 1649774480 | William Shamus Rohn | Student in an Organized Health Care Education/Training Program | 137 Jules Ave, Jefferson, LA 70121 | 2018-03-19 |
| 1295262665 | Uday Shanker Nadimpally | Student in an Organized Health Care Education/Training Program | Ochsner Clinic Foundation, 1514, Jefferson Hwy, New Orleans, LA 70121 | 2017-05-17 |
| 1700324084 | Magnolia Community Services, Inc | Intermediate Care Facility, Mentally Retarded | 821 Jefferson Heights Ave., Jefferson, LA 70121 | 2017-02-07 |
| Find all providers in zip 70121 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714187 | Danielle Rowe | Dentist | 1363 Pendergrass Rd, Jefferson, GA 30549-3054 | 2020-06-12 |
| 1750510582 | Amy Grizzle David | Dentist | 1057 Winder Hwy, Jefferson, GA 30549-6314 | 2009-07-14 |
| 1942490214 | Teresita V Hernandez | Dentist | 4612 Jefferson Hwy, Jefferson, LA 70121-1231 | 2007-08-01 |
| 1528276599 | Jefferson Family Dentistry, Inc. | Dentist | 3733 Jefferson Pike, Jefferson, MD 21755 | 2007-05-21 |
| 1952524233 | Arlene Irene Rice | Dentist | 248 N Chestnut St, Jefferson, OH 44047-1128 | 2007-04-11 |
| 1700963220 | Christopher R E Phillips | Dentist | 78 N Chestnut St, Jefferson, OH 44047 | 2006-11-01 |
| 1497831671 | Gerard J Martin | Dentist | 4027 Jefferson Hwy, Jefferson, LA 70121 | 2006-10-31 |
| 1770664229 | Rayford Kent Thigpen | Dentist | 601 N Walnut St, Jefferson, TX 75657-1851 | 2006-10-18 |
| 1972608255 | Joel W Yates Jr. | Dentist | 525 East Main Street, Jefferson, NC 28640-0499 | 2006-09-13 |
| 1487683165 | Brian Todd Smith Turley | Dentist | 184 W Plymouth St, Jefferson, WI 53549-1833 | 2006-07-03 |
| Find all providers in JEFFERSON | ||||
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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.