Alexandria Smile Center LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ALEXANDRIA SMILE CENTER LLC

Practice address

3511 Parliament CT
Alexandria, LA 71303-3135

Phone

(318) 545-7606

Fax

(318) 545-7626

NPI assigned

Mar 3, 2021

Last updated

Mar 7, 2021By 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. John Thomas Moylan III, DDSNPI 1861891475

Title

Owner/Member

Phone

(318) 545-7606

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• John Thomas Moylan III, D.D.S.

  • General Practice Dentistry
  • Alexandria, LA
  • NPI 1861891475
  NPD Authorized official
• Joshua Virginio Tavares Kaluzny, DDS

  • General Practice Dentistry
  • Alexandria, LA
  • NPI 1225652449
  NPD (past)

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615075200000",
    "number": "1992390793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 PARLIAMENT CT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033135",
            "telephone_number": "318-545-7606",
            "fax_number": "318-545-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 PARLIAMENT CT",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033135",
            "telephone_number": "318-545-7606",
            "fax_number": "318-545-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRIA SMILE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A",
        "authorized_official_last_name": "MOYLAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "318-545-7606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Pediatric Gastro, Inc
• Alexandria Pediatrics, LLC
• Alexandria Primary Care Clinic
• Alexandria Rehabilitation , LLC
• Alexandria Rheumatology, LLC
• Alexandria Spine & Rehab Center LLC
• Alexandria Surgery
• Alexandria Urology Associates LLP
• Alexandria Womens Center a Medical
• Sara Alford, R.S.W.

• Dental Clinic/Center in Alexandria, LA
• Providers in Alexandria, 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 7, 2021; 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.