Provider Demographics
NPI:1326239757
Name:ASERCION, JOSEPH ANDREW (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ANDREW
Last Name:ASERCION
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:1708 MANHATTAN BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-3400
Mailing Address - Country:US
Mailing Address - Phone:504-361-5333
Mailing Address - Fax:504-361-5322
Practice Address - Street 1:5974 E IRWIN PL
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2472
Practice Address - Country:US
Practice Address - Phone:303-875-0908
Practice Address - Fax:303-804-0262
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA32541223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics