NPIMap

Organization Active NPI

Jonathan B. Turgeon a Professional Dental LLC

Doing business as Elite Family Dentistry

  • General Practice Dentistry
  • Bossier City, LA
National Provider Identifier
1760768253
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JONATHAN B. TURGEON A PROFESSIONAL DENTAL LLC
Doing business as
Elite Family Dentistry
Practice address
1519 Doctors Dr
Suite 1
Bossier City, LA 71111-3675
Phone
(318) 741-6778
Fax
(318) 741-6780
NPI assigned
Oct 27, 2011
Last updated
Oct 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Jonathan B Turgeon, DDSNPI 1851543920
Title
Owner
Phone
(318) 741-6778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1519 Doctors Dr
Suite 1
Bossier City, LA 71111-3675

Mailing address

1519 Doctors Dr
Suite 1
Bossier City, LA 71111-3675
Phone (318) 741-6778

Other names 1

  • Elite Family Dentistry Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1760768253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 DOCTORS DR",
            "address_2": "SUITE 1",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113675",
            "telephone_number": "318-741-6778",
            "fax_number": "318-741-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 DOCTORS DR",
            "address_2": "SUITE 1",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113675",
            "telephone_number": "318-741-6778",
            "fax_number": "318-741-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN B. TURGEON A PROFESSIONAL DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "TURGEON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-741-6778",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.