Provider Demographics
NPI:1972513448
Name:CANATELLA, TODD JAMES JR (DDS)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:JAMES
Last Name:CANATELLA
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2901 N CAUSEWAY BLVD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-4824
Mailing Address - Country:US
Mailing Address - Phone:504-834-3402
Mailing Address - Fax:504-834-3416
Practice Address - Street 1:2901 N CAUSEWAY BLVD
Practice Address - Street 2:SUITE 306
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-4824
Practice Address - Country:US
Practice Address - Phone:504-834-3402
Practice Address - Fax:504-834-3416
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA53191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice