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MOBILE DENTAL PROGRAM
NPI 1578736690
Clinic/Center - Dental in New Orleans, LA

Active since April 09, 2008
1300 PERDIDO ST, ROOM 8W03B, NEW ORLEANS, LA 70112(504) 658-2584 Get Directions Write a Review

NPPES record last updated: April 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mobile Dental Program NPPES

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

MOBILE DENTAL PROGRAM (NPI 1578736690) is a healthcare organization registered as a dental in New Orleans, Louisiana and active in the NPI registry since April 2008. The organization lists Germaine Tillage Thompson, Accountant/fiscal Manager, as its authorized official.

NPPES Registry Identity

NPI1578736690
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMOBILE DENTAL PROGRAM
Location Address1300 PERDIDO ST, ROOM 8W03BNew Orleans, LA 70112-2125
Mailing Address1300 Perdido St, Room 8w03bNew Orleans, LA 70112-2125 · (504) 658-2584
Phone(504) 658-2584
Organization SubpartYesParent: City Of New Orleans
Authorized OfficialGermaine Tillage ThompsonAccountant/fiscal Manager · (504) 658-2501
Enumeration DateApril 9, 2008
✔ NPI 1578736690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1300 PERDIDO ST, New Orleans, LA 70112
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Other Identifiers 1

Medicaid1880051LA

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.

1029 TRANSPORTATION
Contractor
1300 PERDIDO ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 603-6763
DOUGLAS WILLIAM CROSS DDS
Dentist
1300 PERDIDO ST, RM 8W03B-DENTAL
NEW ORLEANS, LA 70112
Orleans Parish (504) 658-2581

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 Mobile Dental Program's NPI number?

The NPI number for Mobile Dental Program is 1578736690. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is Mobile Dental Program located?

Mobile Dental Program is located at 1300 Perdido St Room 8w03b, New Orleans, LA 70112. The listed phone number is (504) 658-2584.

What is Mobile Dental Program'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 Mobile Dental Program was last updated on April 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.