Booth, Dennis Joseph

Booth, Dennis Joseph is an sole proprietor health care provider with primary practice located at 4420 Conlin St Suite 202, Metairie LA 70006-2167. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Booth, Dennis Joseph can be contacted via phone (504) 454-6555.

Contact Information

Primary practice address
4420 Conlin St Suite 202 Metairie LA 70006-2167
Phone: (504) 454-6555
Fax: (504) 454-6555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2191 Louisiana

Profile Details

NPI number 1417256165
LBN Legal business name Booth, Dennis Joseph
Credentials D.D.S. M.SC.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2011
Last updated Mar 21st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417256165 NPPES
Louisiana Other 537804 OCUPATIONAL LICENSE TAX

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