Shelly D Ereth, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5717 Issued in LA

Practice address

110 Veterans Blvd
Suite 105a
Metairie, LA 70005

Phone

(504) 832-1164

Fax

(504) 832-1161

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1730103367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VETERANS BLVD",
            "address_2": "SUITE 105A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70005",
            "telephone_number": "504-832-1164",
            "fax_number": "504-832-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VETERANS BLVD",
            "address_2": "SUITE 105A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70005",
            "telephone_number": "504-832-1164",
            "fax_number": "504-832-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERETH",
        "first_name": "SHELLY",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashlie Lopez Erwin, MS
• Escipion Pedroza

• General Practice Dentistry in Metairie, LA
• Providers in Metairie, 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 Nov 4, 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.