Jacob Dent, D.D.S., Dentists of Mandeville, a Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JACOB DENT, D.D.S., DENTISTS OF MANDEVILLE, A PROFESSIONAL CORPORATION

Practice address

3421 E Causeway Approach Ste a
Mandeville, LA 70448-3447

Phone

(985) 746-1629

Fax

(985) 746-1310

NPI assigned

Dec 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Den, DDS

Title

Owner

Phone

(714) 845-8500

Specialties & licenses 1

Addresses

Other names 1

• Dentists of Mandeville Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Delaney Campagna

  • General Practice Dentistry
  • Mandeville, LA
  • NPI 1770413270
  NPD (past)

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1609415561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 E CAUSEWAY APPROACH STE A",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483447",
            "telephone_number": "985-746-1629",
            "fax_number": "985-746-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB DENT, D.D.S., DENTISTS OF MANDEVILLE, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-24",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "DEN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-845-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Mandeville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentists of Mandeville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrity Physical Therapy LLC
• Interim Healthcare San Jose LLC
• Francesca Inzina
• Chris Joseph Ivanyisky, RPH
• Jenna Jackson, PHARMD
• Lisa Donze Jacob, LCSW
• Karen Aleta Jacobs Spears
• Almore Raymond James Sr., MENTAL HEALTH SPECIA
• Kelly Sharp James, MS, CCC-SLP
• Shaunasi James

• Dentist in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.