Jennifer Ann Sobota, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019273 Issued in MI

Practice address

2901 N Causeway Blvd
Metairie VA Dental Clinic
Metairie, LA 70002-4824

Phone

(504) 565-4748

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1982816484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LAKE MARINA AVE APT 4BE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241677",
            "telephone_number": "248-918-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N CAUSEWAY BLVD",
            "address_2": "METAIRIE VA DENTAL CLINIC",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024824",
            "telephone_number": "504-565-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOTA",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Mark Snitzer, DMD
• Tishawon Marie Snowton
• Brittaney Snyder
• David W. Snyder, MD
• Jaimie Snyder
• Deborah E. Sobotie
• Mackenzie Fredricks Soderstrum, MD
• Obiageli Sogbetun, M.D.
• Monique Soignet
• Bridget Soileau

• General Practice Dentistry in Metairie, LA
• Providers in Metairie, 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 Jul 15, 2010; 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.