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General NPI Number Information
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NPI Number | 1053383158
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Entity Type | Organization
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Legal Business Name | JEFFREY W. DONGIEUX, D.D.S. A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1900 W ESPLANADE AVE SUITE 101
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City | KENNER
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State | LA
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Zip | 70065-3463
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Country | US
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Telephone | 504-468-8300
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Fax | 504-468-8307
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Provider Business Mailing Address
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Address Line | 1900 W ESPLANADE AVE SUITE 101
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City | KENNER
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State | LA
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Zip | 70065-3463
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Country | US
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Telephone | 504-468-8300
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Fax | 504-468-8307
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MICHELLE ANN MILLER
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Credential |
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Telephone | 504-468-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 5529
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License Number State | LA
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