Pediatric Dental Specialists of Lafayette

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTAL SPECIALISTS OF LAFAYETTE

Practice address

854 Kaliste Saloom Rd Ste B
Lafayette, LA 70508-4367

Phone

(337) 722-1510

NPI assigned

Feb 21, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Seth Anthony Dejean, DDSNPI 1245731256

Title

Owner

Phone

(337) 722-1510

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Dental Specialists of Lafayette Doing business as

Locations

Practitioners 1

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

• Seth Dejean, DDS

  • Pediatric Dentistry
  • Lafayette, LA
  • NPI 1245731256
  NPD Authorized official

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1356147268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CRESCENT RIDGE PL",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034116",
            "telephone_number": "225-505-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 KALISTE SALOOM RD STE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084367",
            "telephone_number": "337-722-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL SPECIALISTS OF LAFAYETTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "DEJEAN",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-722-1510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dental Specialists of Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ian J Pecor, PT
• Pecot & Padgett Apmc
• Pediakare de Lousiana
• Pediatric Associates of Lafayette, LLC
• Pediatric Clinic of Lafayette LLC
• Pediatric General Surgery Apmc
• Pediatric Group of Acadiana, LLC
• Pediatric Neurology of Acadiana
• Pediatric Specialties Apmc
• Pediatric Therapy and Learning Center

• Pediatric Dentistry in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Pediatric Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.