Jacob Dent DDS Dentists of Lake Charles a Proffessional Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JACOB DENT DDS DENTISTS OF LAKE CHARLES A PROFFESSIONAL CORPORATION

Practice address

4750 Nelson Rd Ste 100
Lake Charles, LA 70605-5382

Phone

(337) 210-8864

Fax

(337) 210-8864

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Jacob Dent

Title

Owner

Phone

(337) 210-8664

Specialties & licenses 1

Addresses

Other names 1

• Dentists Of Lake Charles Doing business as

Locations

Practitioners 3

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

• Madison Claudel, DDS

  • General Practice Dentistry
  • Lake Charles, LA
  • NPI 1427740067
  NPD (past)
• Lukas Gilevicius, DDS

  • Dentist
  • Lake Charles, LA
  • NPI 1386218881
  NPD (past)
• William Ross, DMD

  • Dentist
  • Lake Charles, LA
  • NPI 1386334308
  NPD (past)

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1922511070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 NELSON RD STE 100",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055382",
            "telephone_number": "337-210-8864",
            "fax_number": "337-210-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB DENT DDS DENTISTS OF LAKE CHARLES A PROFFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "DENT",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-210-8664"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists Of Lake Charles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelechi Ihuoma Jackson
• Kenneth Lee Jackson
• Louella M Jackson, FNPC
• Naomi Jefferson Jackson
• Shameka Jackson
• Brenna Thomas Jacob, LCSW-BACS
• Jennifer Colleen Flavin Jacobs, MPAS, PA-C
• Lauren Brooke Jacoby, D.O.
• Muhammad Atif Shamshad Jadoon, MD
• Zafar Jadwet, MD, MBA

• Dentist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.