Yenlis Maldonado-Perez DMD a Professional Dental Limited Liability Co

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YENLIS MALDONADO-PEREZ DMD A PROFESSIONAL DENTAL LIMITED LIABILITY CO

Practice address

3709 Masonic Dr
Alexandria, LA 71301-3632

Phone

(318) 269-6422

NPI assigned

Aug 9, 2019

Last updated

Jun 13, 2023By 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

Yenlis Maldonado-Perez

Title

Owner

Phone

(318) 269-6422

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Yanzhi Huang, DDS

  • Dentist
  • Fairfield, CA
  • NPI 1790569457
  NPD
• Ayanna Brinea Powell, RDH,DHSC

  • Dental Hygienist
  • Landover, MD
  • NPI 1205570876

  Single Specialty

  NPD

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1871148429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 MASONIC DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013632",
            "telephone_number": "318-269-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YENLIS MALDONADO-PEREZ DMD A PROFESSIONAL DENTAL LIMITED LIABILITY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "MALDONADO-PEREZ",
        "authorized_official_first_name": "YENLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-269-6422"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Ann Wyatt, PMHNP
• Tramika Wyatt
• Travis K Wyble, CRNA
• Xavier Medical Equipment Inc
• Xavier Medical Equipment,Inc.
• Stuart Yoas, MD
• Emily Arndt Yoder, FNP-C
• Destiny York, MS, LPC, NCC
• Robert Scott York, M.D.
• Alaa H Younes, M.D.

• General Practice Dentistry in Alexandria, LA
• Providers in Alexandria, 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 Jun 13, 2023; 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.