Provider Demographics
NPI:1497788368
Name:DONGIEUX, JEFFREY WALKER (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:WALKER
Last Name:DONGIEUX
Suffix:
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 1:1900 W. ESPLANADE AVE.
Mailing Address - Street 2:STE 101
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065
Mailing Address - Country:US
Mailing Address - Phone:504-468-8300
Mailing Address - Fax:504-468-8307
Practice Address - Street 1:8330 LONG POINT RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-2023
Practice Address - Country:US
Practice Address - Phone:713-461-4770
Practice Address - Fax:713-461-0998
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX229691223P0106X
LA55291223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology