MANDEVILLE DENTAL CARE, LLC – NPI #1841428315
Clinic/Center

MANDEVILLE DENTAL CARE, LLC is an AHC clinic located in MANDEVILLE, LA. NPPES has assigned the NPI number 1841428315 to MANDEVILLE DENTAL CARE, LLC on June 23, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MANDEVILLE DENTAL CARE, LLC below.

NPI Profile for
MANDEVILLE DENTAL CARE, LLC

NPI Number
1841428315
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MANDEVILLE DENTAL CARE, LLC
Primary location
2581 FLORIDA STREET
SUITE A
MANDEVILLE, LA 70448
Phone: (985) 674-3114 Fax: (985) 892-2579
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID DAVENPORT
OWNER/DENTIST
Phone: (985) 674-3114
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 LA 5713

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.