MEDICARE: BAYOU DENTAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	261QC1500X	Community Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265706295
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAYOU DENTAL HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 23623
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70183-0623
Country	:	US
Telephone Number	:	888-242-1608
Fax Number	:

Provider Business Practice Location Address
First Line	:	6005 AIRLINE DR
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70003-4330
Country	:	US
Telephone Number	:	888-242-1608
Fax Number	:

Authorized Official
Title or Position	:	DENTAL DIRECTOR
Name	:	DR. MAHRUFA ISLAM
Credential	:	DDS
Telephone Number	:	888-242-1608

Provider Enumeration Date	:	03/08/2012
Last Update Date	:	11/13/2018

Similar Medicare Providers

1588647564 — COMM-CARE CORPORATION
Practice Location Address:

6001 AIRLINE DR
METAIRIE, LA
70003-4330

Practice Phone: 504-733-8448
Practice Fax: 504-733-1917

1770704082 — ROBIN BROUSSARD CONSTANT MCD, CCC-SLP
Practice Location Address:

6001 AIRLINE DR
METAIRIE, LA
70003-4330

Practice Phone: 504-818-2204
Practice Fax: 504-818-2204

1104047414 — MS. HAN THUY TRAN LCOTA
Practice Location Address:

6001 AIRLINE DR
METAIRIE, LA
70003-4330

Practice Phone: 504-818-2204
Practice Fax:

1659116606 — SABRIJE LYNN CEMENJA DPT
Practice Location Address:

6001 AIRLINE DR
METAIRIE, LA
70003-4330

Practice Phone: 504-733-8448
Practice Fax:

1568458560 — DR. KEVIN JOHN SCHELLHAAS D.D.S.
Practice Location Address:

343 METAIRIE RD
METAIRIE, LA
70005-4330

Practice Phone: 504-887-1272
Practice Fax: 504-835-1591

1801256938 — TOWNSEND TREATMENT CENTER, LLC
Practice Location Address:

4330 LOVELAND ST , STE. A
METAIRIE, LA
70006

Practice Phone: 504-454-5172
Practice Fax: 615-457-8094

Directions to “BAYOU DENTAL HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.