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LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE NPI 1154543288


NPI Information

NPI: 1154543288
Provider Name: LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE
Classification: Dentist - 1223P0106X
Entity Type: Organization

Specialization: Oral and Maxillofacial Pathology

Address:
1100 FLORIDA AVE
BOX 131
NEW ORLEANS, LA
ZIP 70119
Phone: (504) 619-8721
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LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE is an oral and maxillofacial pathology dentist in New Orleans, LA. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE NPI is 1154543288. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1100 FLORIDA AVE
BOX 131
NEW ORLEANS, LA
ZIP 70119-714
Phone: (504) 619-8721
Fax: (504) 941-8001

The provider's authorized official is Sue H. Speegle .
The authorized official title is Practice Manager and has the following contact phone number (504) 941-8119.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 7/23/2014.


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
11223P0106XDentistOral and Maxillofacial Pathology5003LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11952702MEDICAIDLOUISIANA
25D024MEDICARE PIN
3A8122OTHERLOUISIANABLUE CROSS

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

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