Healthcare Provider Details

I. General information

NPI: 1689466567
Provider Name (Legal Business Name): MICHELLE BYRNES DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 S CARROLLTON AVE
NEW ORLEANS LA
70118-4307
US

IV. Provider business mailing address

7928 OAK ST
NEW ORLEANS LA
70118-2706
US

V. Phone/Fax

Practice location:
  • Phone: 504-207-3060
  • Fax:
Mailing address:
  • Phone: 504-292-4393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7692
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: