Exceptional Dental of G

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EXCEPTIONAL DENTAL OF G

Practice address

828 Avenue G
Marrero, LA 70072-1830

Phone

(504) 341-5200

Fax

(504) 341-6977

NPI assigned

Dec 4, 2015

Organization subpart

No

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

Authorized official

Name

Linda Doles

Title

Office Manager

Phone

(504) 341-5200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1629443452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 AVENUE G",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700721830",
            "telephone_number": "504-341-5200",
            "fax_number": "504-341-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 AVENUE G",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700721830",
            "telephone_number": "504-341-5200",
            "fax_number": "504-341-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL DENTAL OF G",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "DOLES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-341-5200"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erich O Richter MD a Professional Medical LLC
• Essence of Beauty LLC
• Jill Estes, B.S.
• Patricia C Estrada, M.D.
• Charles Tilden Everson, MD
• Exceptional Dental of Marrero
• Fabre Family Dental Care of Marrero
• Fabre Family Dental Care of Metairie, L.L.C
• Keith Joseph Fabre Jr., D.D.S.
• Erin Fairchild

• General Practice Dentistry in Marrero, LA
• Providers in Marrero, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.