Boutte Dental Associates, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3427 Issued in LA

Legal business name

BOUTTE DENTAL ASSOCIATES, LLC

Doing business as

Louisiana Dental Center

Practice address

14243 US Highway 190
Boutte, LA 70039

Phone

(985) 785-0488

NPI assigned

Apr 6, 2010

Last updated

Apr 6, 2010By 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

Mr. Joseph R Lacoste Jr., DDS

Title

Owner

Phone

(985) 345-0240

Specialties & licenses 1

Addresses

Other names 1

• Louisiana Dental Center Doing business as

Locations

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1699090365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14243 US HIGHWAY 190",
            "city": "BOUTTE",
            "state": "LA",
            "postal_code": "70039",
            "telephone_number": "985-785-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14243 US HIGHWAY 190",
            "city": "BOUTTE",
            "state": "LA",
            "postal_code": "70039",
            "telephone_number": "985-785-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUTTE DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "LACOSTE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-345-0240",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "3427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Boutte, LA
• Providers in Boutte, LA by specialty
• Dental Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.