Slidell Family Dental Care, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SLIDELL FAMILY DENTAL CARE, LLC

Practice address

240 Erlanger Ave
Slidell, LA 70458-3426

Phone

(985) 643-4553

Fax

(985) 645-0746

NPI assigned

Sep 30, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Brandi Lynn Martinez

Title

Office Manager

Phone

(985) 643-4553

Specialties & licenses 1

Addresses

Other names 1

• Slidell Family Dental Care, LLC Doing business as

Locations

Practitioners 2

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

• Kent Allen Stasney, DDS

  • Dentist
  • Slidell, LA
  • NPI 1154473692
  NPD
• Christy Lynn Stasney, D.D.S.

  • Dentist
  • Slidell, LA
  • NPI 1073992392
  NPD (past)

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1235801044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 ERLANGER AVE",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583426",
            "telephone_number": "985-643-4553",
            "fax_number": "985-645-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ERLANGER AVE",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583426",
            "telephone_number": "985-643-4553",
            "fax_number": "985-645-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLIDELL FAMILY DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "985-643-4553",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Slidell Family Dental Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Slidell Dental Associate, LLC
• Slidell Emergency Group LLC
• Slidell Eye Clinic
• Slidell Eye Specialists, Apmc
• Slidell Eye Specialists, Apmc
• Slidell Family Medical and Wellness Care, LLC
• Slidell Family Medicine LLC
• Slidell Internal Medicine Clinic LLC
• Slidell Memorial Hospital
• Slidell Memorial Hospital

• General Practice Dentistry in Slidell, LA
• Providers in Slidell, 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 Sep 30, 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.