1275601759 NPI number — DR. LAURENCE THATCH NORTON III D.D.S.

Table of content: DR. LAURENCE THATCH NORTON III D.D.S. (NPI 1275601759)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275601759 NPI number — DR. LAURENCE THATCH NORTON III D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NORTON
Provider First Name:
LAURENCE
Provider Middle Name:
THATCH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
III
Provider Credential Text:
D.D.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275601759
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/09/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3712 MACARTHUR BLVD.
Provider Second Line Business Mailing Address:
SUITE 102
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70114-6843
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-366-8381
Provider Business Mailing Address Fax Number:
504-366-8388

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3712 MACARTHUR BLVD.
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70114-6843
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-366-8381
Provider Business Practice Location Address Fax Number:
504-366-8388
Provider Enumeration Date:
12/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  5201 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1852015 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1275601759 . This is a "UNITED CONCORDIA" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: G1581 . This is a "BCBS OF LA" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com