Provider Demographics
NPI:1205196508
Name:DOCTORS DENTAL CARE OF ALGIERS, LLS
Entity Type:Organization
Organization Name:DOCTORS DENTAL CARE OF ALGIERS, LLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVENPORT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:504-366-4700
Mailing Address - Street 1:2968 GENERAL COLLINS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-6859
Mailing Address - Country:US
Mailing Address - Phone:504-366-4700
Mailing Address - Fax:504-366-4701
Practice Address - Street 1:2968 GENERAL COLLINS AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-6859
Practice Address - Country:US
Practice Address - Phone:504-366-4700
Practice Address - Fax:504-366-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA57131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty