Jacob Dent, DDS. Baton Rouge Modern Dentistry, a Professional Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JACOB DENT, DDS. BATON ROUGE MODERN DENTISTRY, A PROFESSIONAL CORP

Doing business as

Baton Rouge Dental Dentistry

Practice address

14640 Village Market St
Suite 103
Baton Rouge, LA 70817

Phone

(337) 422-3588

Fax

(337) 214-1676

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Dent, DDS

Title

Owner

Phone

(337) 422-3588

Specialties & licenses 1

Addresses

Other names 1

• Baton Rouge Dental Dentistry Doing business as

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1992251573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVENUE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "714-845-8500",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14640 VILLAGE MARKET ST",
            "address_2": "SUITE 103",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70817",
            "telephone_number": "337-422-3588",
            "fax_number": "337-214-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB DENT, DDS. BATON ROUGE MODERN DENTISTRY, A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "DENT",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-422-3588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baton Rouge Dental Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thad Jackson
• Tracie Lashelle Jackson, P.T., DPT
• Trinette Amelia Jackson, RN,BSN
• Tyesha Nicole Jackson
• Velma H Jackson, D.D.S.
• Jacob Francis Henderson DDS LLC
• Jacob M. Estes, M.D., LLC
• Alan Jacob
• Elva Jacobs
• Ive Jacobson, MS, BCBA, LBA

• Dentist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.