Healthcare Provider Details

I. General information

NPI: 1649236621
Provider Name (Legal Business Name): ARNOLD E GELFAND DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 AMELIA ST
NEW ORLEANS LA
70115
US

IV. Provider business mailing address

1319 AMELIA ST
NEW ORLEANS LA
70115
US

V. Phone/Fax

Practice location:
  • Phone: 504-895-3400
  • Fax: 504-895-7683
Mailing address:
  • Phone: 504-895-3400
  • Fax: 504-895-7683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2584
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: