RAE A. GAUTHIER, DDS, LLC DBA PONCHATOULA FAMILY DENTISTRY
NPI 1215446521
Clinic/Center - Dental in Ponchatoula, LA

Q: What is Rae A. Gauthier, Dds, LLC Dba Ponchatoula Family Dentistry's specialty?

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

Active since September 29, 2017

430 E PINE ST, PONCHATOULA, LA 70454(985) 687-3806(985) 386-8467 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Rae A. Gauthier, Dds, Llc Dba Ponchatoula Family Dentistry NPPES

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

RAE A. GAUTHIER, DDS, LLC DBA PONCHATOULA FAMILY DENTISTRY (NPI 1215446521) is a healthcare organization registered as a dental in Ponchatoula, Louisiana and active in the NPI registry since September 2017. The organization lists Rae Ann Gauthier, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1215446521

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameRAE A. GAUTHIER, DDS, LLC DBA PONCHATOULA FAMILY DENTISTRY

Location Address430 E PINE STPonchatoula, LA 70454-2544

Mailing Address430 E Pine StPonchatoula, LA 70454-2544 · (985) 687-3806 · Fax (985) 386-8467

Phone(985) 687-3806

Fax(985) 386-8467

Organization SubpartNo

Authorized OfficialRae Ann GauthierOwner/dentist · (985) 386-8454

Enumeration DateSeptember 29, 2017

Last NPPES UpdateJuly 21, 2022

✔ NPI 1215446521 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 · 5909

430 E PINE ST, Ponchatoula, LA 70454

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Other Identifiers 1

Medicaid1859095LA

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.

DOUGLAS M GEORGE DDS LLC

Clinic/Center (Dental)

430 E PINE ST
PONCHATOULA, LA 70454

Tangipahoa Parish (318) 348-4795

DR. DOUGLAS M GEORGE DDS

Dentist (General Practice)

430 E PINE ST
PONCHATOULA, LA 70454

Tangipahoa Parish (985) 386-8454

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 Rae A. Gauthier, Dds, LLC Dba Ponchatoula Family Dentistry's NPI number?

The NPI number for Rae A. Gauthier, Dds, LLC Dba Ponchatoula Family Dentistry is 1215446521. It was assigned to this organization in the NPPES registry on September 29, 2017.

Where is Rae A. Gauthier, Dds, LLC Dba Ponchatoula Family Dentistry located?

Rae A. Gauthier, Dds, LLC Dba Ponchatoula Family Dentistry is located at 430 E Pine St, Ponchatoula, LA 70454. The listed phone number is (985) 687-3806.

What is Rae A. Gauthier, Dds, LLC Dba Ponchatoula Family Dentistry'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 Rae A. Gauthier, Dds, LLC Dba Ponchatoula Family Dentistry was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.