Provider Demographics
NPI:1194843391
Name:PRICE, HELEN J (DDS)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:J
Last Name:PRICE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 740429
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70174-0429
Mailing Address - Country:US
Mailing Address - Phone:504-368-9174
Mailing Address - Fax:504-368-9118
Practice Address - Street 1:839 TECHE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-4339
Practice Address - Country:US
Practice Address - Phone:504-368-9174
Practice Address - Fax:504-368-9118
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA48881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1848883Medicaid