Slidell Dental Associate, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SLIDELL DENTAL ASSOCIATE, LLC

Doing business as

Louisiana Dental Center

Practice address

1301 Eastridge Dr
Suite 1
Slidell, LA 70458-3018

Phone

(985) 643-8800

NPI assigned

Mar 28, 2007

Last updated

Aug 22, 2020By 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

Dr. Joseph Robert Lacoste Jr., DDS

Title

Owner

Phone

(985) 345-0240

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932228418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 EASTRIDGE DR",
            "address_2": "SUITE 1",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583018",
            "telephone_number": "985-643-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 EASTRIDGE DR",
            "address_2": "SUITE 1",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583018",
            "telephone_number": "985-643-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLIDELL DENTAL ASSOCIATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LACOSTE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-345-0240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOUISIANA DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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.