Active NPI
La Dental Urgent Care LLC
- Dentist
- Baton Rouge, LA
National Provider Identifier
1245494814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5635
- Legal business name
- LA DENTAL URGENT CARE LLC
- Practice address
- 4021 W. E. Heck CT
I-L
Baton Rouge, LA 70816 - Phone
- (225) 926-0702
- Fax
- (504) 218-4204
- NPI assigned
- Jul 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Jaclyn Duboue, D.D.S.
- Title
- Managing Member of LLC/Owner/Provid
- Phone
- (225) 926-0702
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5635 | LA | Primary |
Addresses
Primary practice location
4021 W. E. Heck CT
I-L
Baton Rouge, LA 70816
Mailing address
3121 Maryland Ave
Kenner, LA 70065
Phone (504) 390-2847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1880426 | Medicaid | LA |
Other names 1
- LAKETOWN Dental
National Provider Directory
National Provider Directory- Tax ID family
- BR Dental Specialists LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- New Orleans, LA
- NPI 1336558311
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Baton Rouge, LA
- NPI 1154409365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753920000000",
"number": "1245494814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 MARYLAND AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "70065",
"telephone_number": "504-390-2847",
"fax_number": "504-218-4204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4021 W. E. HECK CT",
"address_2": "I-L",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70816",
"telephone_number": "225-926-0702",
"fax_number": "504-218-4204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA DENTAL URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-14",
"last_updated": "2025-07-31",
"status": "A",
"authorized_official_last_name": "DUBOUE",
"authorized_official_first_name": "JACLYN",
"authorized_official_title_or_position": "MANAGING MEMBER OF LLC/OWNER/PROVID",
"authorized_official_telephone_number": "225-926-0702",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "LA",
"license": "5635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1880426",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LAKETOWN Dental",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.