Provider Demographics
NPI:1316048945
Name:MONETTE, JOVIAN (DDS)
Entity type:Individual
Prefix:DR
First Name:JOVIAN
Middle Name:
Last Name:MONETTE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10001 LAKE FOREST BLVD
Mailing Address - Street 2:SUITE 509
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-6200
Mailing Address - Country:US
Mailing Address - Phone:504-273-7757
Mailing Address - Fax:504-273-7758
Practice Address - Street 1:10001 LAKE FOREST BLVD
Practice Address - Street 2:SUITE 509
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-6200
Practice Address - Country:US
Practice Address - Phone:504-273-7757
Practice Address - Fax:504-273-7758
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA56931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice