Provider Demographics
NPI:1093152720
Name:ZERINGUE, NICOLE RUSSO (DDS)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:RUSSO
Last Name:ZERINGUE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:NICOLE
Other - Middle Name:ELIZABETH
Other - Last Name:RUSSO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:4520 CLEARVIEW PKWY
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2308
Mailing Address - Country:US
Mailing Address - Phone:504-454-7008
Mailing Address - Fax:504-456-7305
Practice Address - Street 1:4520 CLEARVIEW PKWY
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2308
Practice Address - Country:US
Practice Address - Phone:504-454-7008
Practice Address - Fax:504-456-7308
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA63861223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice