J Philip Epling III a Professional Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

4069 Issued in LA

Legal business name

J PHILIP EPLING III A PROFESSIONAL DENTAL CORP

Practice address

63222 Highway 1090
Pearl River, LA 70452

Phone

(985) 863-7687

Fax

(985) 863-7027

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

John Philip Epling III, DDS

Title

Owner Dentist

Phone

(985) 863-7687

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John Philip Epling III, D.D.S

  • General Practice Dentistry
  • Pearl River, LA
  • NPI 1962597120
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790827277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63222 HIGHWAY 1090",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "70452",
            "telephone_number": "985-863-7687",
            "fax_number": "985-863-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63222 HIGHWAY 1090",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "70452",
            "telephone_number": "985-863-7687",
            "fax_number": "985-863-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J PHILIP EPLING III A PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EPLING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "985-863-7687",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "4069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Pearl River, LA
• Providers in Pearl River, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.