Dr. Holly Clark, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. HOLLY CLARK, LLC

Doing business as

Glenstone Dental

Practice address

10552 S Glenstone PL
Baton Rouge, LA 70810-2875

Phone

(225) 767-6400

Fax

(225) 768-9912

NPI assigned

Dec 22, 2021

Organization subpart

No

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

Authorized official

Name

Hollie Price

Title

Office Manager

Phone

(225) 767-6400

Specialties & licenses 1

Addresses

Other names 1

• Glenstone Dental Doing business as

Locations

Practitioners 3

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

• Philip V. Gastinel, D.D.S.

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1871709444
  NPD
• Thomas C. Nash, D.D.S.

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1881800993
  NPD (past)
• Erica Simon, DDS

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1881030641
  NPD (past)

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1083374748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10552 S GLENSTONE PL",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102875",
            "telephone_number": "225-767-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10552 S GLENSTONE PL",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708102875",
            "telephone_number": "225-767-6400",
            "fax_number": "225-768-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HOLLY CLARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-767-6400"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenstone Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Denis E Simon III, Dr Michael Scott Bond and Gwendolyn Denise Co (Dr.'S Simon, Bond and Cobrett LLC)
• Dr Johnnie Lynn Hunt LLC
• Dr Ramon Aizpurua, M.D. a Professional Medical Corporation
• Dr. Amy T. Dinh, LLC (Ideal Vision Care)
• Dr. Geoffrey Peters ENT LLC
• Dr. Neil Smith, LTD., Apmc
• Dr. Phuong T. Dinh, L.L.C. (Vue Eyecare)
• Dr. Smith's Eye Care & Optical LTD
• David M Dragon, M.D.
• Sherrell Mariah Drake

• Dentist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.