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ST. TAMMANY PERIODONTICS & IMPLANTS LLC
NPI 1104496744
Dentist - Periodontics in Covington, LA

Active since June 27, 2021
5024 KEYSTONE BLVD STE A, COVINGTON, LA 70433(985) 778-0241(985) 778-0428 Get Directions Write a Review

NPPES record last updated: June 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Tammany Periodontics & Implants Llc NPPES

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

ST. TAMMANY PERIODONTICS & IMPLANTS LLC (NPI 1104496744) is a healthcare organization registered as a periodontics in Covington, Louisiana and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Slidell and lists Caesar S Sweidan, Owner, as its authorized official.

NPPES Registry Identity

NPI1104496744
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameST. TAMMANY PERIODONTICS & IMPLANTS LLC
Location Address5024 KEYSTONE BLVD STE ACovington, LA 70433-7517
Mailing Address5024 Keystone Blvd Ste ACovington, LA 70433-7517 · (985) 778-0241 · Fax (985) 778-0428
Phone(985) 778-0241
Fax(985) 778-0428
Organization SubpartNo
Authorized OfficialCaesar S SweidanOwner · (985) 778-0241
Enumeration DateJune 27, 2021
NPPES CertifiedMarch 23, 2021
✔ NPI 1104496744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
5024 KEYSTONE BLVD STE A, Covington, LA 70433
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Secondary Practice Location 1

Location 11414 Old Spanish TrlSlidell, LA 70458-5022 · Phone (985) 590-1651 · Fax (985) 259-4544

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. CYRUS JON MANSOURI DDS
Dentist (Periodontics)
5024 KEYSTONE BLVD STE A
COVINGTON, LA 70433
St. Tammany Parish (985) 778-0241
DR. CAESAR SWEIDAN DDS
Dentist (Periodontics)
5024 KEYSTONE BLVD STE A
COVINGTON, LA 70433
St. Tammany Parish (985) 778-0241

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 St. Tammany Periodontics & Implants LLC's NPI number?

The NPI number for St. Tammany Periodontics & Implants LLC is 1104496744. It was assigned to this organization in the NPPES registry on June 27, 2021.

Where is St. Tammany Periodontics & Implants LLC located?

St. Tammany Periodontics & Implants LLC is located at 5024 Keystone Blvd Ste A, Covington, LA 70433. The listed phone number is (985) 778-0241.

What is St. Tammany Periodontics & Implants LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for St. Tammany Periodontics & Implants LLC was last updated on June 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.