Provider Demographics
NPI:1851418289
Name:CAIRE, ROLAND ANTOINE JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROLAND
Middle Name:ANTOINE
Last Name:CAIRE
Suffix:JR
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 1:4315 WILLIAMS BLVD
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-2206
Mailing Address - Country:US
Mailing Address - Phone:504-467-2696
Mailing Address - Fax:
Practice Address - Street 1:4315 WILLIAMS BLVD
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2206
Practice Address - Country:US
Practice Address - Phone:504-467-2696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA36631223G0001X
TX350741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice