Exceptional Dental of Uptown, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EXCEPTIONAL DENTAL OF UPTOWN, LLC

Practice address

5300 Tchoupitoulas St Ste F4
New Orleans, LA 70115-1963

Phone

(504) 229-3342

Fax

(504) 226-5508

NPI assigned

Dec 4, 2019

Last updated

Feb 8, 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

Mrs. Samantha Coats

Title

Insurance Credentialing Manager

Phone

(504) 609-2599

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ehab Moussa, DDS

  • Periodontics
  • Metairie, LA
  • NPI 1548689359
  NPD (past)

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1538706015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 TCHOUPITOULAS STREET STE. F4",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701151963",
            "telephone_number": "504-229-3342",
            "fax_number": "504-226-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 TCHOUPITOULAS ST STE F4",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701151963",
            "telephone_number": "504-229-3342",
            "fax_number": "504-226-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL DENTAL OF UPTOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "COATS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "INSURANCE CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "504-609-2599",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in New Orleans, LA
• Providers in New Orleans, LA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.