Provider Demographics
NPI:1528945128
Name:COVINGTON EMPOWER ORTHODONTICS LLC - DR TIMOTHY M POYADOU JR
Entity type:Organization
Organization Name:COVINGTON EMPOWER ORTHODONTICS LLC - DR TIMOTHY M POYADOU JR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:D
Authorized Official - Last Name:ASHWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-974-9256
Mailing Address - Street 1:100 TYLER SQ STE 4
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-3060
Mailing Address - Country:US
Mailing Address - Phone:985-974-9256
Mailing Address - Fax:985-266-2002
Practice Address - Street 1:1234 DEL ESTE AVE STE 101
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-4833
Practice Address - Country:US
Practice Address - Phone:985-266-2000
Practice Address - Fax:985-266-2002
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COVINGTON EMPOWER ORTHODONTICS, LLC -DR TIMOTHY M POYADOU JR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-18
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty