Precision Dental & Implant Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PRECISION DENTAL & IMPLANT CENTER

Practice address

3701 Williams Blvd Ste 253
Kenner, LA 70065-3067

Phone

(504) 469-1551

Fax

(504) 469-1580

NPI assigned

Aug 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Ahmad Reza Edalati Sharbaf

Title

Dentist/ Owner

Phone

(916) 294-5214

Specialties & licenses 1

Addresses

Other names 1

• N/A Other name

Locations

Practitioners 2

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

• Reza Edalati

  • Prosthodontics
  • Kenner, LA
  • NPI 1912736851
  NPD
• Cary John Hoppe, D.D.S.

  • General Practice Dentistry
  • Kenner, LA
  • NPI 1588720700
  NPD (past)

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1225860422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 WILLIAMS BLVD STE 253",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653067",
            "telephone_number": "504-469-1551",
            "fax_number": "504-469-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 WILLIAMS BLVD STE 253",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653067",
            "telephone_number": "504-469-1551",
            "fax_number": "504-469-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION DENTAL & IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "EDALATI SHARBAF",
        "authorized_official_first_name": "AHMAD REZA",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "916-294-5214",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pma Medical Treatment Centers, LLC
• Grant Robert Pollock, MD
• Kennith Porter Sr., CCHT
• Larry Pousson
• Glinda Ann Powell, SOCIAL WORK/ABD
• Sonia Prem
• Premier Elite Transportation LLC
• Preserving Human Dignity LLC
• Mary Prevost
• Primary Care at Home of Louisiana IV, LLC (Primary Care at Home of Kenner)

• Dental Clinic/Center in Kenner, LA
• Providers in Kenner, LA by specialty
• Dental Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.