IENNUSA ORTHODONTICS, INC.
NPI 1306279039
Clinic/Center - Dental in Mandeville, LA

Active since August 16, 2013
2245 11TH ST STE C, MANDEVILLE, LA 70471(985) 626-4779 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Iennusa Orthodontics, Inc. NPPES

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

IENNUSA ORTHODONTICS, INC. (NPI 1306279039) is a healthcare organization registered as a dental in Mandeville, Louisiana and active in the NPI registry since August 2013. The organization lists John Anthony Iennusa, President/orthodontist, as its authorized official.

NPPES Registry Identity

NPI1306279039
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameIENNUSA ORTHODONTICS, INC.
Location Address2245 11TH ST STE CMandeville, LA 70471-6498
Mailing Address2245 11th St Ste CMandeville, LA 70471-6498 · (985) 626-4779
Organization SubpartNo
Authorized OfficialJohn Anthony IennusaPresident/orthodontist · (985) 626-4779
Enumeration DateAugust 16, 2013
NPI 1306279039 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 · 5188
2245 11TH ST STE C, Mandeville, LA 70471

Reviews for IENNUSA ORTHODONTICS, INC.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Orthodontics and Dentofacial Orthopedics)
2245 11TH ST STE C
MANDEVILLE, LA 70471

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306279039, enumerated as an "organization" on August 16, 2013.

The provider is located at 2245 11TH ST STE C MANDEVILLE, LA 70471 and the phone number is (985) 626-4779.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.