NPIMap

Organization Active NPI

SSC Dental Center LLC

  • General Practice Dentistry
  • Saint Francisville, LA
National Provider Identifier
1649437286
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SSC DENTAL CENTER LLC
Practice address
5436 Commerce St
Saint Francisville, LA 70775-2880
Phone
(225) 635-4422
Fax
(225) 635-2171
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Frank V SullivanNPI 1023201209
Title
General Dentist Owner
Phone
(225) 635-4422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X

Addresses

Primary practice location

5436 Commerce St
Saint Francisville, LA 70775-2880

Mailing address

PO Box 2880
Saint Francisville, LA 70775-2880
Phone (225) 635-4422

Other names 1

  • Sullivan Dental Center Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1649437286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2880",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707752880",
            "telephone_number": "225-635-4422",
            "fax_number": "225-635-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5436 COMMERCE ST",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707752880",
            "telephone_number": "225-635-4422",
            "fax_number": "225-635-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSC DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "GENERAL DENTIST OWNER",
        "authorized_official_telephone_number": "225-635-4422",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan Dental Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Francisville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.