Northlake Dental Llc in Mandeville - Dental
Northlake Dental Llc - NPI 1922266576
Northlake Dental Llc is a Dental in Mandeville, Louisiana. Northlake Dental Llc practices all healthcare services and medical treatments related to Dental. The NPI Number for Northlake Dental Llc is 1922266576. The last update date is 2020-07-31.
Northlake Dental Llc's current location address is 2030 N Causeway Blvd, Mandeville, Louisiana. You can contact this provider via phone number 9856263338 and fax number 9856263318. The mailing address for Northlake Dental Llc is 2030 N Causeway Blvd, Mandeville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northlake Dental Llc |
|---|---|
| Address | 2030 N Causeway Blvd, Mandeville, Louisiana |
| Phone Number | 9856263338 |
| Fax Number | 9856263318 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Allison Shannon Patrick |
| Credentials | DDS |
| Telephone Number | 9856263338 |
NPI Number Detail
| NPI Number | 1922266576 |
|---|---|
| Provider Enumeration Date | 2008-05-30 |
| Last Updated Date | 2020-07-31 |
Provider Mailing Address Detail
| Address | 2030 N Causeway Blvd |
|---|---|
| City | Mandeville |
| State | Louisiana (LA) |
| Post Code | 704713116 |
| Phone Number | 9856263338 |
| Fax Number | 9856263318 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A2169 | LA | BLUE CROSS BLUE SHIELD | |
| H2632 | LA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Northlake Dental Llc by the Centers for Medicare & Medicaid Services?
The Northlake Dental Llc has been issued the NPI (National Provider Identifier) 1922266576, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Northlake Dental Llc?
The Northlake Dental Llc is physically situated at 2030 N Causeway Blvd, in the city of Mandeville, state of LA, with the postal code 704713116.
What is Northlake Dental Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Northlake Dental Llc is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.
When did Northlake Dental Llc receive its 1922266576 assignment?
The Northlake Dental Llc was assigned its 1922266576 on 2008-05-30, which is the date when this unique identifier was issued to the organization.
When was the information related to Northlake Dental Llc most recently updated or refreshed?
The details pertaining to the Northlake Dental Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-07-31.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY
NPI Number: 1023011053
Address: 1253 N Vine St, Los Angeles, CA