1. Home
  2. Directory
  3. Louisiana
  4. Jennings
  5. Clinic Center
  6. NPI Profile

NATHAN RAY FONTENOT, JR., APDC
NPI 1114262649
Clinic/Center - Dental in Jennings, LA

Active since December 10, 2012
715 N MAIN ST, JENNINGS, LA 70546(337) 824-4963(337) 824-4961 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nathan Ray Fontenot, Jr., Apdc NPPES

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

NATHAN RAY FONTENOT, JR., APDC (NPI 1114262649) is a healthcare organization registered as a dental in Jennings, Louisiana and active in the NPI registry since December 2012. The organization lists Nathan Ray Fontenot, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1114262649
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNATHAN RAY FONTENOT, JR., APDC
Location Address715 N MAIN STJennings, LA 70546-5311
Mailing AddressPo Box 815Jennings, LA 70546-0815 · (337) 824-4963 · Fax (337) 824-4961
Phone(337) 824-4963
Fax(337) 824-4961
Organization SubpartNo
Authorized OfficialNathan Ray FontenotOwner/dentist · (337) 824-4963
Enumeration DateDecember 10, 2012
✔ NPI 1114262649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in LA · 3543
715 N MAIN ST, Jennings, LA 70546
Open in Google Maps ↗

Other Identifiers 1

Medicaid18354319LA

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 Nathan Ray Fontenot, Jr., Apdc's NPI number?

The NPI number for Nathan Ray Fontenot, Jr., Apdc is 1114262649. It was assigned to this organization in the NPPES registry on December 10, 2012.

Where is Nathan Ray Fontenot, Jr., Apdc located?

Nathan Ray Fontenot, Jr., Apdc is located at 715 N Main St, Jennings, LA 70546. The listed phone number is (337) 824-4963.

What is Nathan Ray Fontenot, Jr., Apdc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Nathan Ray Fontenot, Jr., Apdc was last updated on December 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.