Conner Patrick Allison
Individual provider Active NPI General Practice Dentistry · Mandeville, LA
NPI 1437846342 · NPPES record last updated May 23, 2023
Key facts
- NPI
- 1437846342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7411 (LA)
- Practice address
- 2030 N Causeway Blvd
Mandeville, LA 70471-3116 - Phone
- (985) 626-3338
- NPI assigned
- Apr 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7411 | LA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northlake Dental LLC | General Practice | Current |
Accepting new patients |
Locations
2030 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 626-3338
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 7411 | LA | Yes |
Addresses
Primary practice location
2030 N Causeway Blvd
Mandeville, LA 70471-3116
Mailing address
2030 N Causeway Blvd
Mandeville, LA 70471-3116
Phone (985) 276-0206
Other providers in Mandeville, LA
- Amy R Alfonso
- Ryan Alfred
- Isfana J Ali
- Ann Vuncannon Allen
- Brandon Allison
- Patrick Shannon Allison
- Allure Dental by Daniela SK Eversgerd DMD LLC
- Mohammad Almubaslat
- Alicia Alonzo-Reynaud
- Jason Robert Alvarez
All providers in Mandeville, LA · General Practice Dentistry in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.