Provider Demographics
NPI:1770855272
Name:MEKARI LASER DENTISTRY, LLC
Entity type:Organization
Organization Name:MEKARI LASER DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MEKARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-888-1414
Mailing Address - Street 1:4500 YORK ST STE 100
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-1250
Mailing Address - Country:US
Mailing Address - Phone:504-888-1414
Mailing Address - Fax:504-779-0407
Practice Address - Street 1:4500 YORK ST STE 100
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1250
Practice Address - Country:US
Practice Address - Phone:504-888-1414
Practice Address - Fax:504-779-0407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QH0100X, 261QP3300X, 261QS0112X, 332B00000X, 332BC3200X, 335E00000X, 261Q00000X
LA51231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty