Doctors Charles Grady Hornsby Jr, Robert Leo Regan, and Michael Charle

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2719 Issued in LA

Legal business name

DOCTORS CHARLES GRADY HORNSBY JR, ROBERT LEO REGAN, AND MICHAEL CHARLE

Doing business as

Baton Rouge Oral and Facial Surgery

Practice address

5227 Flanders Dr
Baton Rouge, LA 70808-9169

Phone

(225) 769-3600

Fax

(225) 767-3275

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Anne Stamper

Title

Insurance Manager

Phone

(225) 769-3600

Specialties & licenses 1

Addresses

Other names 1

• Baton Rouge Oral and Facial Surgery Doing business as

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1649450594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5227 FLANDERS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089169",
            "telephone_number": "225-769-3600",
            "fax_number": "225-767-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5227 FLANDERS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089169",
            "telephone_number": "225-769-3600",
            "fax_number": "225-767-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS CHARLES GRADY HORNSBY JR, ROBERT LEO REGAN, AND MICHAEL CHARLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "STAMPER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "225-769-3600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "2719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baton Rouge Oral and Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dat Huu DO, RPH
• Sarah DO, PT
• Abbey Dobard, PA-C
• Amy Palingcod Dobson, PT
• Mary Margaret Dobson, MD
• Doctors Dental 05, LLC
• Doctors Services,LLC
• Alexandra Dodd
• Caleb Elijah Dodd, PA
• Tyra Dodd, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.