MEDICARE: DR. DENNIS ANDERSON CASEY III M.D.

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	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	012259	LA
2	207YX0602X	Otolaryngic Allergy Physician	012259	LA

General Provider Information

NPI Number	:	1861461444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS ANDERSON CASEY III M.D.

Provider Business Mailing Address
First Line	:	1617 BUTTERNUT AVE
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70001-3345
Country	:	US
Telephone Number	:	504-455-6685
Fax Number	:	504-455-6685

Provider Business Practice Location Address
First Line	:	4022 CANAL ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-6021
Country	:	US
Telephone Number	:	504-488-3779
Fax Number	:	504-488-7572

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	09/11/2025

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