Provider Demographics
NPI:1417577461
Name:NOTO, HANNAH BOUDREAUX (DDS)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:BOUDREAUX
Last Name:NOTO
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 1:185 S BEADLE RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-4287
Mailing Address - Country:US
Mailing Address - Phone:337-344-8034
Mailing Address - Fax:178-533-7261
Practice Address - Street 1:185 S BEADLE RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-4287
Practice Address - Country:US
Practice Address - Phone:337-344-8034
Practice Address - Fax:178-533-7261
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA68611223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty