Healthcare Provider Details

I. General information

NPI: 1194818781
Provider Name (Legal Business Name): JAY CHRISTOPHER DUMAS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3004 GENTILLY BOULEVARD
NEW ORLEANS LA
70122
US

IV. Provider business mailing address

3004 GENTILLY BLVD
NEW ORLEANS LA
70122-3808
US

V. Phone/Fax

Practice location:
  • Phone: 504-435-1800
  • Fax: 504-435-1821
Mailing address:
  • Phone: 504-435-1800
  • Fax: 504-435-1821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number5240
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number5240
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: