Trenton Dental Center LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TRENTON DENTAL CENTER LLC

Practice address

1605 N Trenton St
Ruston, LA 71270-2354

Phone

(318) 255-7946

NPI assigned

Nov 15, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Overstreet

Title

Insurance Coordinator

Phone

(318) 255-7946

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Paige Volentine

  • Dentist
  • Ruston, LA
  • NPI 1306995881
  NPD
• Joanna Kay Webb

  • Hearing Instrument Specialist
  • West Monroe, LA
  • NPI 1477210086
  NPD
• Ashley Bennett Walpole, FNP-C

  • Family Nurse Practitioner
  • Ruston, LA
  • NPI 1164804936
  NPD (past)

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1053880443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702354",
            "telephone_number": "318-255-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 N TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702354",
            "telephone_number": "318-255-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRENTON DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "OVERSTREET",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "318-255-7946",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSES NUMBER",
            "identifier": "5674",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallarie Toms, NP
• Labriesha Annette Torbor
• Lakendra Antoinette Torbor, RN
• Deidre Townsend, PD
• Transforming Lives Counseling
• Trueheart Care Group LLC
• Meghan Trybus, COTA
• Elvin Gregory Tubre, M.D.
• Tammy Renee Tubre, LPC
• Kenneth Wayne Tucker, RN

• Dentist in Ruston, LA
• Providers in Ruston, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.