Healthcare Provider Details

I. General information

NPI: 1841122959
Provider Name (Legal Business Name): COURTNEY D ROTHSCHILD JR. DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10964 RIVER RD
SAINT ROSE LA
70087-3400
US

IV. Provider business mailing address

10964 RIVER RD
SAINT ROSE LA
70087-3400
US

V. Phone/Fax

Practice location:
  • Phone: 504-469-9778
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7803
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: