Pamela Daigle DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PAMELA DAIGLE DDS LLC

Doing business as

Off The Trace Dental

Practice address

2130 Gause Blvd W
Slidell, LA 70460-4118

Phone

(985) 326-1711

NPI assigned

Mar 12, 2022

Last updated

Mar 12, 2022By 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. Pamela Ponce de Leon Daigle, DDSNPI 1407471055

Title

Owner/Manager

Phone

(985) 326-1711

Specialties & licenses 1

Addresses

Other names 1

• Off The Trace Dental Doing business as

Locations

Practitioners 1

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.

• Pamela Ponce de Leon Daigle, DDS

  • General Practice Dentistry
  • Slidell, LA
  • NPI 1407471055
  NPD Authorized official

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

{
    "created_epoch": "1647043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647043200000",
    "number": "1952059644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT ANN DR # 8645",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 GAUSE BLVD W",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704604118",
            "telephone_number": "985-326-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA DAIGLE DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-12",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A",
        "authorized_official_last_name": "DAIGLE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "PONCE DE LEON",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "985-326-1711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Off The Trace Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina J Palermo
• Caila Monet Palmer
• Devonn Palmer
• Palms Express LLC
• Dana Melancon Palo, CRNA
• Santo J Paniello, MD
• Mia Pann
• Paragon Healthcare and Wellness Plus, LLC
• Hazel G Pardo, MSW LCSW
• Partick Bernard Parent, DDS

• Dental Clinic/Center in Slidell, LA
• Providers in Slidell, LA by specialty
• Dental Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.