Provider Demographics
NPI:1679656045
Name:SOILEAU, KRISTI MARSUE (DDS)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:MARSUE
Last Name:SOILEAU
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 1:2820 NAPOLEON AVE STE 470
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-8233
Mailing Address - Country:US
Mailing Address - Phone:504-899-2255
Mailing Address - Fax:
Practice Address - Street 1:2820 NAPOLEON AVE STE 470
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-8233
Practice Address - Country:US
Practice Address - Phone:504-899-2255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA41161223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics