Douglas M George, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6849 Issued in LA

Practice address

430 E Pine St
Ponchatoula, LA 70454-2544

Phone

(985) 386-8454

Fax

(985) 386-8467

NPI assigned

Apr 25, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Douglas M George DDS LLC

  • Dental Clinic/Center
  • Ponchatoula, LA
  • NPI 1154901668
  NPD Authorized official
• Rae a. Gauthier, DDS, LLC Dba Ponchatoula Family Dentistry

  • Dental Clinic/Center
  • Ponchatoula, LA
  • NPI 1215446521
  NPD
• Chad M Gardner DDS a Professional Dental Corporation

  • Dentist
  • Bastrop, LA
  • NPI 1124395389
  NPD (past)

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1750879854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E PINE ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704542544",
            "telephone_number": "985-386-8454",
            "fax_number": "985-386-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E PINE ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704542544",
            "telephone_number": "985-386-8454",
            "fax_number": "985-386-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "DOUGLAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-25",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6849",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nukimbria Monaisha Frier
• Anne Galiano, MA, BCBA, LBA
• Dion M Gaspard, LMT
• Katie Mae Gatewood
• Steve Lawrence Gaudin, M.D.
• Endia Geter
• Kathleen Ann Glover
• Grace & Wellness Therapeutic Services
• Christopher Graham
• Patricia Elaine Grant, L.M.T/M.M.P.

• General Practice Dentistry in Ponchatoula, LA
• Providers in Ponchatoula, 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 27, 2021; 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.