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THORSON DENTISTRY FOR KIDS
NPI 1124507611
Dentist - Pediatric Dentistry in Destrehan, LA

Active since August 07, 2018
159 LONGVIEW DR STE A, DESTREHAN, LA 70047(985) 307-0072 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2018, Aug 7, 2018 (2 updates tracked since 2018).

About Thorson Dentistry For Kids NPPES

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

THORSON DENTISTRY FOR KIDS (NPI 1124507611) is a healthcare organization registered as a pediatric dentistry in Destrehan, Louisiana and active in the NPI registry since August 2018. The organization lists Joey Keener, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124507611
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTHORSON DENTISTRY FOR KIDS
Location Address159 LONGVIEW DR STE ADestrehan, LA 70047
Mailing Address159 Longview Dr Ste ADestrehan, LA 70047-5076 · (985) 307-0072
Phone(985) 307-0072
Organization SubpartNo
Authorized OfficialJoey KeenerOffice Manager · (985) 307-0072
Enumeration DateAugust 7, 2018
Last NPPES UpdateAugust 15, 20182 updates tracked since enumeration
✔ NPI 1124507611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
159 LONGVIEW DR STE A, Destrehan, LA 70047
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Other Identifiers 4

Medicaid1861227LA
Other6122LA · State License
Medicaid26622LA
Medicaid28782LA

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

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

DR. AMANDA HALL BEGUE DDS
Dentist (Pediatric Dentistry)
159 LONGVIEW DR STE A
DESTREHAN, LA 70047
St. Charles Parish (985) 307-0072

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 Thorson Dentistry For Kids's NPI number?

The NPI number for Thorson Dentistry For Kids is 1124507611. It was assigned to this organization in the NPPES registry on August 7, 2018.

Where is Thorson Dentistry For Kids located?

Thorson Dentistry For Kids is located at 159 Longview Dr Ste A, Destrehan, LA 70047. The listed phone number is (985) 307-0072.

What is Thorson Dentistry For Kids'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 Thorson Dentistry For Kids was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.