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PEDIATRIC DENTIST, PDC
NPI 1003943135
Dentist - Pediatric Dentistry in Metairie, LA

Active since February 27, 2007
2201 VETERANS MEMORIAL BLVD, SUITE 306, METAIRIE, LA 70002(504) 831-2120(504) 831-2310 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Dentist, Pdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC DENTIST, PDC (NPI 1003943135) is a healthcare organization registered as a pediatric dentistry in Metairie, Louisiana and active in the NPI registry since February 2007. The organization lists Jason D Parker, President, as its authorized official.

NPPES Registry Identity

NPI1003943135
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTIST, PDC
Location Address2201 VETERANS MEMORIAL BLVD, SUITE 306Metairie, LA 70002
Mailing Address2201 Veterans Memorial Blvd, Suite 306Metairie, LA 70002 · (504) 831-2120 · Fax (504) 831-2310
Phone(504) 831-2120
Fax(504) 831-2310
Organization SubpartNo
Authorized OfficialJason D ParkerPresident · (504) 669-8679
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003943135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in LA · 5132
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2201 VETERANS MEMORIAL BLVD, Metairie, LA 70002
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Other Identifiers 1

Medicaid1851329LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SEAN RICHARD WEISS MD
Plastic Surgery (Plastic Surgery Within the Head and Neck)
2201 VETERANS MEMORIAL BLVD, SUITE 408
METAIRIE, LA 70002
Jefferson Parish (504) 814-3223
MARK MORICI MD
Pediatrics
2201 VETERANS MEMORIAL BLVD, STE 300
METAIRIE, LA 70002
Jefferson Parish (504) 833-7374
PAIGE OLIVER M.D.
Pediatrics
2201 VETERANS MEMORIAL BLVD, STE 300
METAIRIE, LA 70002
Jefferson Parish (504) 833-4303
JOHN BARBARA MD
Pediatrics
2201 VETERANS MEMORIAL BLVD, STE 300
METAIRIE, LA 70002
Jefferson Parish (504) 833-7374
DEBORAH T. BUCHLER M.C.D.
Speech-Language Pathologist
2201 VETERANS MEMORIAL BLVD, SUITE 403
METAIRIE, LA 70002
Jefferson Parish (504) 837-4844

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dentist, Pdc's NPI number?

The NPI number for Pediatric Dentist, Pdc is 1003943135. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Pediatric Dentist, Pdc located?

Pediatric Dentist, Pdc is located at 2201 Veterans Memorial Blvd Suite 306, Metairie, LA 70002. The listed phone number is (504) 831-2120.

What is Pediatric Dentist, Pdc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dentist, Pdc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.