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SOUTHERN LOUISIANA ORAL & MAXILLOFACIAL SURGERY
NPI 1659404077
Dentist - Oral and Maxillofacial Surgery in Baton Rouge, LA

Active since March 14, 2007
8680 BLUEBONNET BLVD, SUITE C, BATON ROUGE, LA 70810(225) 767-7212(225) 767-0945 Get Directions Write a Review

NPPES record last updated: July 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Louisiana Oral & Maxillofacial Surgery NPPES

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

SOUTHERN LOUISIANA ORAL & MAXILLOFACIAL SURGERY (NPI 1659404077) is a healthcare organization registered as an oral and maxillofacial surgery in Baton Rouge, Louisiana and active in the NPI registry since March 2007. The organization lists Walter J Jung, Owner, as its authorized official.

NPPES Registry Identity

NPI1659404077
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWALTER J. JUNG PROFESSIONAL DENTAL CORPORATION
Location Address8680 BLUEBONNET BLVD, SUITE CBaton Rouge, LA 70810-7825
Mailing Address8680 Bluebonnet Blvd, Suite CBaton Rouge, LA 70810-7825 · (225) 767-7212 · Fax (225) 767-0945
Phone(225) 767-7212
Fax(225) 767-0945
Organization SubpartNo
Authorized OfficialWalter J JungOwner · (225) 767-7212
Enumeration DateMarch 14, 2007
Last NPPES UpdateJuly 17, 2008
✔ NPI 1659404077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in LA · 5295
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
8680 BLUEBONNET BLVD, Baton Rouge, LA 70810
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Other Names 1

Doing Business AsSouthern Louisiana Oral & Maxillofacial Surgery

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 2

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

RIVERSIDE REHABILITATION AGENCY, INC.
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
8680 BLUEBONNET BLVD, SUITE D
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 936-2021
DR. BRIDGET COMFORT THIBODAUX D.D.S.
Dentist (General Practice)
8680 BLUEBONNET BLVD, SUITE E
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 757-8700

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 Walter J. Jung Professional Dental Corporation's NPI number?

The NPI number for Walter J. Jung Professional Dental Corporation is 1659404077. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Southern Louisiana Oral & Maxillofacial Surgery.

Where is Walter J. Jung Professional Dental Corporation located?

Walter J. Jung Professional Dental Corporation is located at 8680 Bluebonnet Blvd Suite C, Baton Rouge, LA 70810. The listed phone number is (225) 767-7212.

What is Walter J. Jung Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Walter J. Jung Professional Dental Corporation was last updated on July 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.