Healthcare Provider Details

I. General information

NPI: 1275660037
Provider Name (Legal Business Name): ALLAN E QUERENS JR. DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 04/25/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 N CAUSEWAY
METAIRIE LA
70001
US

IV. Provider business mailing address

3638 METAIRIE CT.
METAIRIE LA
70002-1926
US

V. Phone/Fax

Practice location:
  • Phone: 504-885-3161
  • Fax:
Mailing address:
  • Phone: 504-885-3161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number3729
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number3729
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: