Active NPI
Lakeside Dental Associates, Inc.
- Dentist
- Metairie, LA
National Provider Identifier
1720107295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- LAKESIDE DENTAL ASSOCIATES, INC.
- Practice address
- 3301 Veterans Memorial Blvd
Suite 203
Metairie, LA 70002-8447 - Phone
- (504) 887-6453
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Robert Lacoste Jr., DDS
- Title
- Owner
- Phone
- (985) 345-0240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
3301 Veterans Memorial Blvd
Suite 203
Metairie, LA 70002-8447
Mailing address
3301 Veterans Memorial Blvd
Suite 203
Metairie, LA 70002-8447
Phone (504) 887-6453
Other names 1
- LOUISIANA DENTAL CENTER
National Provider Directory
National Provider DirectoryLocations
1501 32nd St
Kenner, LA 70065
Phone (504) 275-6422
3301 Veterans Memorial Blvd
Ste 203
Metairie, LA 70002
Phone (504) 833-6825
3004 Gentilly Blvd
New Orleans, LA 70122
Phone (504) 435-1800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720107295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 VETERANS MEMORIAL BLVD",
"address_2": "SUITE 203",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700028447",
"telephone_number": "504-887-6453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 VETERANS MEMORIAL BLVD",
"address_2": "SUITE 203",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700028447",
"telephone_number": "504-887-6453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKESIDE DENTAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LACOSTE",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "985-345-0240",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LOUISIANA DENTAL CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.