Kid's Dental Zone Slidell LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KID'S DENTAL ZONE SLIDELL LLC

Practice address

1128 Old Spanish TRL
Slidell, LA 70458-5020

Phone

(985) 646-2146

Fax

(985) 646-2158

NPI assigned

Dec 29, 2008

Last updated

Dec 29, 2008By 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

Dr. Edward Lawrence Donaldson Jr., DDSNPI 1417015512

Title

Partner

Phone

(985) 641-3988

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Edward Lawrence Donaldson Jr., DDS

  • Pediatric Dentistry
  • Slidell, LA
  • NPI 1417015512
  Authorized official Same address or phone

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1164668968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614153",
            "telephone_number": "985-641-3988",
            "fax_number": "985-641-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 OLD SPANISH TRL",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585020",
            "telephone_number": "985-646-2146",
            "fax_number": "985-646-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID'S DENTAL ZONE SLIDELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "985-641-3988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Kern, MS, RD, LDN
• Katie Marie Kersh, PTA
• Danyel Kesselus, PA-C
• KHM, LLC
• Aurash Khoobehi, MD
• David Warren Kidder, PH.D.
• Rachel Mariah Kiest, PTA
• John J Killeen, DDS
• Jesse Killian
• Eunjin Kim, FNP

• Pediatric Dentistry in Slidell, LA
• Providers in Slidell, LA by specialty
• Pediatric Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.