West Baton Rouge Dental Associates, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WEST BATON ROUGE DENTAL ASSOCIATES, LLC

Doing business as

Louisiana Dental Center

Practice address

6572 Hwy 1 South
Addis, LA 70710

Phone

(985) 893-2240

Fax

(985) 893-2629

NPI assigned

Jul 11, 2019

Last updated

Jul 11, 2019By 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

Joseph Lacoste Jr., DDS

Title

Owner

Phone

(985) 893-2240

Specialties & licenses 1

Addresses

Other names 1

• Louisiana Dental Center Doing business as

Locations

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1790337632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N. HWY 190",
            "address_2": "SUITE 200",
            "city": "CORINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-893-2240",
            "fax_number": "985-893-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6572 HWY 1 SOUTH",
            "city": "ADDIS",
            "state": "LA",
            "postal_code": "70710",
            "telephone_number": "985-893-2240",
            "fax_number": "985-893-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BATON ROUGE DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "LACOSTE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-893-2240",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clyde R Spain
• Sunny Day Pediatric Dentistry
• Kharisa Ree Tucker, LMSW
• Ashley Vu, DDS
• Latonia Nicole Warren, LCSW
• Felicia M Williams, DOULA
• Victoria Marie Young, LPC

• Dental Clinic/Center in Addis, LA
• Providers in Addis, LA by specialty
• Dental Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.