Healthcare Provider Details

I. General information

NPI: 1336941392
Provider Name (Legal Business Name): NAPOLEON DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5213 W NAPOLEON AVE
METAIRIE LA
70001-2266
US

IV. Provider business mailing address

103 SE CENTRAL AVE
AMITE LA
70422-2837
US

V. Phone/Fax

Practice location:
  • Phone: 504-455-2182
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TROY VERGES
Title or Position: OWNER
Credential:
Phone: 504-455-2182