Provider Type Icon

COSMETIC DENTISTRY OF BATON ROUGE LLC NPI 1134345184


NPI Information

NPI: 1134345184
Provider Name: COSMETIC DENTISTRY OF BATON ROUGE, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
632 SHADOWS LN
SUITE B
BATON ROUGE, LA
ZIP 70806
Phone: (225) 926-8954
Get Directions

COSMETIC DENTISTRY OF BATON ROUGE, LLC is a general practice dentist in Baton Rouge, LA. The provider is 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. COSMETIC DENTISTRY OF BATON ROUGE, LLC NPI is 1134345184. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

632 SHADOWS LN
SUITE B
BATON ROUGE, LA
ZIP 70806-532
Phone: (225) 926-8954
Fax: (225) 927-4055

The provider's authorized official is Mark Andrew Ventress .
The authorized official title is Owner and has the following contact phone number (225) 926-8954.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice5147LOUISIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.