Provider Demographics
NPI:1326889866
Name:SHIRLEY, CATHERINE (DDS)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:SHIRLEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:SHIRLEY
Other - Last Name:RAINWATER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:250 MOUTON ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2362
Mailing Address - Country:US
Mailing Address - Phone:214-392-7278
Mailing Address - Fax:
Practice Address - Street 1:5809 CITRUS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70123-5811
Practice Address - Country:US
Practice Address - Phone:504-733-8551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA75441223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice