Exceptional Dental of Louisiana, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EXCEPTIONAL DENTAL OF LOUISIANA, LLC

Practice address

1518 Galleria Blvd.
1518
Metairie, LA 70001-7000

Phone

(504) 609-2599

NPI assigned

Dec 31, 2018

Last updated

Feb 26, 2021By 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

Samantha Coats

Title

Insurance Credentialing Specilist

Phone

(504) 609-2599

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1386116499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GALLERIA BLVD STE 1518",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012082",
            "telephone_number": "504-609-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 GALLERIA BLVD.",
            "address_2": "1518",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017000",
            "telephone_number": "504-609-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL DENTAL OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-31",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "COATS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "INSURANCE CREDENTIALING SPECILIST",
        "authorized_official_telephone_number": "504-609-2599"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "=========",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Metairie, LA
• Providers in Metairie, 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 Feb 26, 2021; 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.