Provider Demographics
NPI:1356603963
Name:ACCARDO, CHELSEA PATRICIA (DDS)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:PATRICIA
Last Name:ACCARDO
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 1:605 N CARROLLTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-4743
Mailing Address - Country:US
Mailing Address - Phone:504-309-3917
Mailing Address - Fax:504-309-3918
Practice Address - Street 1:605 N CARROLLTON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-4743
Practice Address - Country:US
Practice Address - Phone:504-309-3917
Practice Address - Fax:504-309-3918
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-10
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA62741223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics