MEDICARE: NAPOLEON DENTAL LLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1336941392
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAPOLEON DENTAL LLC

Provider Business Mailing Address
First Line	:	103 SE CENTRAL AVE
Second Line	:
City	:	AMITE
State	:	LA
Zip	:	70422-2837
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5213 W NAPOLEON AVE
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70001-2266
Country	:	US
Telephone Number	:	504-455-2182
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TROY VERGES
Credential	:
Telephone Number	:	504-455-2182

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	03/27/2025

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Directions to “NAPOLEON DENTAL LLC ” Practice Location

Language	Start Address	Practice Location

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