Provider Demographics
NPI:1588924567
Name:JOSHUA C PATELLA DDS
Entity type:Organization
Organization Name:JOSHUA C PATELLA DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:504-338-4133
Mailing Address - Street 1:6547 AVENUE A
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2146
Mailing Address - Country:US
Mailing Address - Phone:504-338-4133
Mailing Address - Fax:
Practice Address - Street 1:101 W ROBERT E LEE BLVD
Practice Address - Street 2:#305
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-2459
Practice Address - Country:US
Practice Address - Phone:504-282-0700
Practice Address - Fax:504-282-0034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6281122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty