Provider Demographics
NPI:1417362906
Name:DASSEY, LANI MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LANI
Middle Name:MARIE
Last Name:DASSEY
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 1:3241 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-4733
Mailing Address - Country:US
Mailing Address - Phone:504-452-6640
Mailing Address - Fax:
Practice Address - Street 1:3502 S CARROLLTON AVE
Practice Address - Street 2:SUITE A
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-4508
Practice Address - Country:US
Practice Address - Phone:504-410-3051
Practice Address - Fax:504-410-3038
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6482122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist