LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE NPI 1528280641

NPI Information

  • NPI: 1528280641
  • Provider Name: LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • CLIA Number: 19D2049333
  • Address: 3800 HOUMA BLVD
    SUITE 305
    METAIRIE, LA
    ZIP 70006
  • Phone: (504) 889-9893

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NPI Details

LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE is a pediatric dentistry dentist in Metairie, LA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. LSU HEALTH SCIENCES CENTER LSU FACULTY DENTAL PRACTICE NPI is 1528280641. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3800 HOUMA BLVD
SUITE 305
METAIRIE, LA
ZIP 70006-182
Phone: (504) 889-9893
Fax: (504) 889-9895

The provider's authorized official is Christine K Osburn .
The authorized official title is Assistant Office Manager and has the following contact phone number (504) 889-9893.

The CLIA number assigned to this NPI record is 19D2049333 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric DentistryLOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11880591MEDICAIDLOUISIANA

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: 3/30/2025

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