Implant & General Dentistry Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IMPLANT & GENERAL DENTISTRY CORP

Practice address

5037 Veterans Memorial Blvd
3D
Metairie, LA 70006-5136

Phone

(504) 885-7510

NPI assigned

Feb 15, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Robert Rebert, DDS

Title

Provider/Doctor

Phone

(504) 885-7510

Specialties & licenses 1

Addresses

Other names 1

• Robert L. Rebert, Jr. DDS Doing business as

Locations

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1871032425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5037 VETERANS MEMORIAL BLVD",
            "address_2": "3D",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065136",
            "telephone_number": "504-885-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5037 VETERANS MEMORIAL BLVD",
            "address_2": "3D",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065136",
            "telephone_number": "504-885-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPLANT & GENERAL DENTISTRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "REBERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PROVIDER/DOCTOR",
        "authorized_official_telephone_number": "504-885-7510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert L. Rebert, Jr. DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Metairie, LA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.