Organization Active NPI

Vermilion General Dentistry LLC

  • General Practice Dentistry
  • Abbeville, LA
National Provider Identifier
1740444512
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5903 Issued in LA
Legal business name
VERMILION GENERAL DENTISTRY LLC
Practice address
2617 South Dr
Abbeville, LA 70510-4044
Phone
(337) 893-2614
Fax
(337) 893-4662
NPI assigned
Jul 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Dr. Stephen George Trahan, D.D.S.
Title
President
Phone
(337) 893-2614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5903 LA Primary

Addresses

Primary practice location

2617 South Dr
Abbeville, LA 70510-4044

Mailing address

2617 South Dr
Abbeville, LA 70510-4044
Phone (337) 893-2614

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1740444512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 SOUTH DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104044",
            "telephone_number": "337-893-2614",
            "fax_number": "337-893-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 SOUTH DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104044",
            "telephone_number": "337-893-2614",
            "fax_number": "337-893-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMILION GENERAL DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "TRAHAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-893-2614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.