Provider Demographics
NPI:1962681551
Name:ESCHETE, DENNIS JOSEPH JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:JOSEPH
Last Name:ESCHETE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1000 W. PINKHOOK ROAD
Mailing Address - Street 2:STE 204
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503
Mailing Address - Country:US
Mailing Address - Phone:337-233-9900
Mailing Address - Fax:337-233-0770
Practice Address - Street 1:1000 W PINHOOK ROAD
Practice Address - Street 2:STE 204
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2460
Practice Address - Country:US
Practice Address - Phone:337-233-9900
Practice Address - Fax:337-233-0770
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2011-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.200376208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1063355Medicaid
4M411CH79Medicare PIN