Healthcare Provider Details

I. General information

NPI: 1154236560
Provider Name (Legal Business Name): EMILIE R SCHENCK DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5037 VETERANS MEMORIAL BLVD STE 3A
METAIRIE LA
70006-5134
US

IV. Provider business mailing address

5037 VETERANS MEMORIAL BLVD STE 3A
METAIRIE LA
70006-5134
US

V. Phone/Fax

Practice location:
  • Phone: 504-931-4130
  • Fax: 985-781-4319
Mailing address:
  • Phone: 504-931-4130
  • Fax: 985-781-4319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateNULL

VIII. Authorized Official

Name: EMILIE R SCHENCK
Title or Position: OWNER
Credential: DDS
Phone: 504-931-4130