Healthcare Provider Details

I. General information

NPI: 1396674297
Provider Name (Legal Business Name): KATE MARIE ROEMERSHAUSER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 AMES BLVD STE C
MARRERO LA
70072-5154
US

IV. Provider business mailing address

424 LAKE AVE
METAIRIE LA
70005-3604
US

V. Phone/Fax

Practice location:
  • Phone: 504-340-9696
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7802
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: