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SANDEFER PREMIER DENTAL, LLC
NPI 1679922033
Dentist - General Practice in Denham Springs, LA

Active since June 07, 2016
1291 FLORIDA AVE SW, DENHAM SPRINGS, LA 70726(225) 664-4121(225) 664-7774 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandefer Premier Dental, Llc NPPES

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

SANDEFER PREMIER DENTAL, LLC (NPI 1679922033) is a healthcare organization registered as a general practice in Denham Springs, Louisiana and active in the NPI registry since June 2016. The organization lists Clint Nathan Sandefer, Owner, as its authorized official.

NPPES Registry Identity

NPI1679922033
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSANDEFER PREMIER DENTAL, LLC
Location Address1291 FLORIDA AVE SWDenham Springs, LA 70726-4635
Mailing Address1291 Florida Ave SwDenham Springs, LA 70726-4635 · (225) 664-4121 · Fax (225) 664-7774
Phone(225) 664-4121
Fax(225) 664-7774
Organization SubpartNo
Authorized OfficialClint Nathan SandeferOwner · (225) 664-4121
Enumeration DateJune 7, 2016
✔ NPI 1679922033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1291 FLORIDA AVE SW, Denham Springs, LA 70726
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Other Identifiers 2

Medicaid1856584LA
Medicaid32053LA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

PATRICK RYAN CECOLA
Dentist
1291 FLORIDA AVE SW
DENHAM SPRINGS, LA 70726
Livingston Parish (225) 664-4121
DR. CLINT N SANDEFER D.D.S
Dentist (General Practice)
1291 FLORIDA AVE SW
DENHAM SPRINGS, LA 70726
Livingston Parish (225) 664-4121
TAYLOR WHITWORTH DDS
Dentist
1291 FLORIDA AVE SW
DENHAM SPRINGS, LA 70726
Livingston Parish (225) 725-7723
DR. DAVID LOGAN LABBE DDS
Dentist (General Practice)
1291 FLORIDA AVE SW
DENHAM SPRINGS, LA 70726
Livingston Parish (225) 664-4121
DR. TRISTAN CONWAY DDS
Dentist (General Practice)
1291 FLORIDA AVE SW
DENHAM SPRINGS, LA 70726
Livingston Parish (225) 725-7723

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 Sandefer Premier Dental, LLC's NPI number?

The NPI number for Sandefer Premier Dental, LLC is 1679922033. It was assigned to this organization in the NPPES registry on June 7, 2016.

Where is Sandefer Premier Dental, LLC located?

Sandefer Premier Dental, LLC is located at 1291 Florida Ave SW, Denham Springs, LA 70726. The listed phone number is (225) 664-4121.

What is Sandefer Premier Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Sandefer Premier Dental, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and DentaQuest- LA list Sandefer Premier Dental, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandefer Premier Dental, LLC was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.