Nova Dental Group, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5943 Issued in LA

Legal business name

NOVA DENTAL GROUP, LLC

Practice address

1602 W Pinhook Rd
Suite 303
Lafayette, LA 70508-3735

Phone

(337) 235-3761

Fax

(337) 234-9327

NPI assigned

Sep 20, 2012

Last updated

Sep 20, 2012By 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

Dr. Eric Nathaniel Vondenstein, D.D.S.NPI 1932361094

Title

Dentist

Phone

(337) 235-3761

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Nathaniel Vondenstein, D.D.S.

  • Dentist
  • Lafayette, LA
  • NPI 1932361094
  Authorized official Same address or phone

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1700137510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W PINHOOK RD",
            "address_2": "SUITE 303",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083735",
            "telephone_number": "337-235-3761",
            "fax_number": "337-234-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W PINHOOK RD",
            "address_2": "SUITE 303",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083735",
            "telephone_number": "337-235-3761",
            "fax_number": "337-234-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "VONDENSTEIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "337-235-3761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Walter Edward Norton, MD
• Hannah Boudreaux Noto, DDS
• Yolanda Marie Notto, M.ED
• Nova Physician Group PLLC
• Christopher Eric Novak
• Novel Nutrition Solutions LLC
• Heidi Nowicki
• Kyle Nowicki, PHARM.D

• General Practice Dentistry in Lafayette, LA
• Providers in Lafayette, 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 Sep 20, 2012; 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.