Baton Rouge Dentistry, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BATON ROUGE DENTISTRY, LLC

Practice address

632 Shadows LN Ste a
Baton Rouge, LA 70806-6561

Phone

(225) 926-4203

NPI assigned

May 24, 2024

Last updated

May 24, 2024By 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

Daniel MarrazzoNPI 1144845504

Title

Owner

Phone

(318) 794-6561

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Daniel Kevin Marrazzo, DDS

  • General Practice Dentistry
  • Denham Springs, LA
  • NPI 1144845504
  NPD Authorized official
• Jason Derek Hutto, DDS

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1851451223
  NPD (past)

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1740020098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 SHADOWS LN STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 SHADOWS LN STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066561",
            "telephone_number": "225-926-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "MARRAZZO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-794-6561"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baton Rouge Dental Associates, LLC (Louisiana Dental Center)
• Baton Rouge Dental Center Inc
• Baton Rouge Dental Sleep Medicine LLC
• Baton Rouge Dental Sleep Solutions
• Baton Rouge Dental Specialists (Baton Rouge Perio)
• Baton Rouge Diagnostic Health
• Baton Rouge DME, LLC
• Baton Rouge Eldercare LLC.
• Baton Rouge Eldercare LLC.
• Baton Rouge Eye Physicians

• General Practice Dentistry in Baton Rouge, LA
• Providers in Baton Rouge, 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 May 24, 2024; 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.