Organization Active NPI

Rozach Dental, LLC

Doing business as Magnolia Dental

  • General Practice Dentistry
  • Covington, LA
National Provider Identifier
1356081228
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROZACH DENTAL, LLC
Doing business as
Magnolia Dental
Practice address
6061 Pinnacle Pkwy
Covington, LA 70433-9193
Phone
(985) 327-6501
Fax
(985) 327-6506
NPI assigned
Mar 30, 2022
Last updated
Mar 30, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ROZACH DENTAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Dr. Ross Webster Quartano, DDS
Title
Owner
Phone
(985) 327-6501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

6061 Pinnacle Pkwy
Covington, LA 70433-9193

Mailing address

6061 Pinnacle Pkwy
Covington, LA 70433-9193
Phone (985) 327-6501

Other names 1

  • Magnolia Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Rozach Dental LLC

Locations

6061 Pinnacle Pkwy
Covington, LA 70433
Phone (985) 327-6501

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1356081228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 PINNACLE PKWY",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339193",
            "telephone_number": "985-327-6501",
            "fax_number": "985-327-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 PINNACLE PKWY",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339193",
            "telephone_number": "985-327-6501",
            "fax_number": "985-327-6506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROZACH DENTAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROZACH DENTAL, LLC",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "QUARTANO",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "WEBSTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-327-6501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.