Lake Area Dentistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

LA-6269 Issued in LA

Legal business name

LAKE AREA DENTISTRY, LLC

Practice address

700 W McNeese St
Lake Charles, LA 70605-5567

Phone

(337) 478-8470

NPI assigned

Sep 15, 2015

Last updated

Mar 7, 2023By 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. Jeffery Allen Hennigan, DDSNPI 1114288321

Title

Dentist/Owner

Phone

(337) 478-8470

Specialties & licenses 1

Addresses

Locations

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.

• Jeffery Allen Hennigan, D.D.S.

  • Dentist
  • Lake Charles, LA
  • NPI 1114288321
  NPD (past) Authorized official

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1316316896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055567",
            "telephone_number": "337-478-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055567",
            "telephone_number": "337-478-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE AREA DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HENNIGAN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "337-478-8470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "LA-6269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Lahaye, APRN
• Lake Area Anesthesia Inc
• Lake Area Counseling Services, LLC
• Lake Area Counseling, LLC
• Lake Area Dentistry- Moss Bluff
• Lake Area Foot Care Center, Inc.
• Lake Area Laboratories
• Lake Area Medical Center
• Lake Area Medical Services
• Lake Area Medical Services, LLC

• Dentist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.