MLJ Cardinal LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MLJ CARDINAL LLC

Practice address

3645 Williams Blvd Ste 104
Kenner, LA 70065-3464

Phone

(504) 287-4257

NPI assigned

Oct 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Bristol Williams, DDS, MDS

Title

Partner

Phone

(504) 287-4257

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1376028720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 WILLIAMS BLVD STE 104",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653464",
            "telephone_number": "504-287-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLJ CARDINAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRISTOL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "504-287-4257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Milton, DPT
• Nina Leigh Mimbs, MD
• Donavan D Mitchell
• Elaine Mitchell
• Hayley Mitchell
• Modalities Recovery Center
• Mohammad K Anwar MD, LLC
• Mohammad Suleman, MD Apmc
• Farhan Syed Abdullah Mohiuddin, MD
• Edmond Montaldo III, PHARMD

• Dental Clinic/Center in Kenner, LA
• Providers in Kenner, LA by specialty
• Dental Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.