Provider Demographics
NPI:1275601759
Name:NORTON, LAURENCE THATCH III (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:THATCH
Last Name:NORTON
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3712 MACARTHUR BLVD.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-6843
Mailing Address - Country:US
Mailing Address - Phone:504-366-8381
Mailing Address - Fax:504-366-8388
Practice Address - Street 1:3712 MACARTHUR BLVD.
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-6843
Practice Address - Country:US
Practice Address - Phone:504-366-8381
Practice Address - Fax:504-366-8388
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA52011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1852015Medicaid
LA1275601759OtherUNITED CONCORDIA
LAG1581OtherBCBS OF LA