Oak Tree Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6034 Issued in LA

Legal business name

OAK TREE FAMILY DENTISTRY LLC

Practice address

1729 Lafayette St
200
Gretna, LA 70053-5775

Phone

(504) 227-8577

NPI assigned

May 15, 2012

Last updated

Apr 13, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cuong NguyenNPI 1215248224

Title

Manager

Phone

(504) 701-7047

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cuong Quoc Nguyen, D.D.S.

  • General Practice Dentistry
  • Gretna, LA
  • NPI 1215248224
  NPD (past) Authorized official
• Michelle Ngo, DDS

  • General Practice Dentistry
  • Gretna, LA
  • NPI 1003555467
  NPD (past)
• Fen Minh Tseng, D.D.S.

  • General Practice Dentistry
  • Gretna, LA
  • NPI 1992016711
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1003175761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LAVENDER CT",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "70037",
            "telephone_number": "504-701-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 LAFAYETTE ST",
            "address_2": "200",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535775",
            "telephone_number": "504-227-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CUONG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-701-7047"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Gretna, LA
• Providers in Gretna, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.