| Lsu Health Sciences Center Lsu Faculty Dental Practice | |
|
1100 Florida Ave Box 131 New Orleans LA 70119-2714 | |
| (504) 619-8721 | |
| (504) 941-8001 |
| Full Name | Lsu Health Sciences Center Lsu Faculty Dental Practice |
|---|---|
| Speciality | Dentist |
| Location | 1100 Florida Ave, New Orleans, Louisiana |
| Authorized Official Name and Position | Sue H. Speegle (PRACTICE MANAGER) |
| Authorized Official Contact | 5049418119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lsu Health Sciences Center Lsu Faculty Dental Practice 1100 Florida Ave Box 131 New Orleans LA 70119-2714 Ph: (504) 619-8721 | Lsu Health Sciences Center Lsu Faculty Dental Practice 1100 Florida Ave Box 131 New Orleans LA 70119-2714 Ph: (504) 619-8721 |
| NPI Number | 1154543288 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 07/23/2014 |
| Medicare PECOS PAC ID | 0840230694 |
|---|---|
| Medicare Enrollment ID | O20070514000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154543288 | NPI | - | NPPES |
| A8122 | Other | LA | BLUE CROSS |
| 1952702 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 5003 (Louisiana) | Primary |
| Provider Name | Kitrina G Cordell |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1558494559 PECOS PAC ID: 3476596727 Enrollment ID: I20110111000584 |
| Provider Name | Molly S Rosebush |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992835060 PECOS PAC ID: 8527291640 Enrollment ID: I20140425000621 |
Christopher E Brown, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2968 General Collins Ave, New Orleans, LA 70114 Phone: 504-366-4700 Fax: 504-366-4701 | |
Augillard Dental Group, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3711 Frenchmen St, New Orleans, LA 70122 Phone: 504-947-7700 Fax: 504-947-7702 | |
Todd J. Canatella, Jr. Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Robert E Lee Blvd Ste 305, New Orleans, LA 70124 Phone: 504-282-0700 | |
Sherrod L. Quin D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Florida Ave, Box 137, New Orleans, LA 70119 Phone: 504-941-8471 Fax: 504-941-8389 | |
Mid City Smiles Family Dentsitry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3625 Canal St, New Orleans, LA 70119 Phone: 504-485-6575 | |
Smiling Faces Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4747 Earhart Blvd Ste C, New Orleans, LA 70125 Phone: 504-392-9874 | |
K. Richard Dubois, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5760 Hayne Blvd, New Orleans, LA 70126 Phone: 504-241-8457 Fax: 504-241-8450 |