Exceptional Dental of Slidell

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EXCEPTIONAL DENTAL OF SLIDELL

Practice address

101 Smart PL
Suite B
Slidell, LA 70458-2039

Phone

(985) 643-2616

NPI assigned

Jul 5, 2016

Last updated

Sep 15, 2016By 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

Elsy Cabrera

Title

Clinic Administrator

Phone

(985) 643-2616

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1609228428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SMART PL",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582039",
            "telephone_number": "985-643-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SMART PL",
            "address_2": "SUITE B",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582039",
            "telephone_number": "985-643-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL DENTAL OF SLIDELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "ELSY",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "985-643-2616"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.