SOUTHERN SELECT HOUSING LLC NPI 1184555112

NPI Information

  • NPI: 1184555112
  • Provider Name: SOUTHERN SELECT HOUSING LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 12518 WYNDY AVE
    BATON ROUGE, LA
    ZIP 70816
  • Phone: (225) 445-6370

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NPI Details

SOUTHERN SELECT HOUSING 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. SOUTHERN SELECT HOUSING LLC NPI is 1184555112. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12518 WYNDY AVE
BATON ROUGE, LA
ZIP 70816-759
Phone: (225) 445-6370

The provider's authorized official is Trey Joseph Iverstine .
The authorized official title is President and has the following contact phone number (225) 445-6370.

The enumeration date for this NPI number is 5/27/2026 and was last updated on 5/27/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3103TA0400XPsychologistAddiction (Substance Use Disorder)No
4103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
5106S00000XBehavior TechnicianNo
6111N00000XChiropractorNo
7133N00000XNutritionistNo
8163W00000XRegistered NurseNo
9171400000XHealth and Wellness CoachNo
10183500000XPharmacistNo
11261QA0600XClinic/CenterAdult Day CareNo
121223G0001XDentistGeneral PracticeYes

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: 11/21/2025

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