Healthcare Provider Details

I. General information

NPI: 1942119540
Provider Name (Legal Business Name): HANI NASHNOSH DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 OCHSNER BLVD
GRETNA LA
70056-5257
US

IV. Provider business mailing address

4113 UTICA AVE APT D
METAIRIE LA
70002-6776
US

V. Phone/Fax

Practice location:
  • Phone: 504-208-1439
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number113804
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: