Healthcare Provider Details

I. General information

NPI: 1659188191
Provider Name (Legal Business Name): LIT SMILES OF NEW ORLEANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10980 I 10 SERVICE RD
NEW ORLEANS LA
70127-2864
US

IV. Provider business mailing address

10980 I 10 SERVICE RD
NEW ORLEANS LA
70127-2864
US

V. Phone/Fax

Practice location:
  • Phone: 225-383-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER BUTLER
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 225-247-1484