Provider Demographics
NPI:1588721179
Name:LOUIS P. NOGUES, III, DDS, A PROFESSIONAL CORP.
Entity type:Organization
Organization Name:LOUIS P. NOGUES, III, DDS, A PROFESSIONAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:NOGUES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-223-7467
Mailing Address - Street 1:34026 SIVERD LN
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70460-3000
Mailing Address - Country:US
Mailing Address - Phone:225-223-7467
Mailing Address - Fax:985-726-0128
Practice Address - Street 1:22464 HIGHWAY 435
Practice Address - Street 2:
Practice Address - City:ABITA SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70420-2206
Practice Address - Country:US
Practice Address - Phone:985-892-8712
Practice Address - Fax:985-893-3867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA20741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty