Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN IENNUSA JR., DDS
ActiveDR. JOHN IENNUSA JR., DDS is a Orthodontics healthcare provider located in MANDEVILLE, Louisiana. NPI 1033550181 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · MANDEVILLE, LA
Registration Details
- NPI Number
- 1033550181
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2013 (13.105121383753 yrs)
- Last Updated
- Jul 17, 2013
- License
-
5188 (LA)
Practice Information
- Address
-
2245 11TH ST STE CMANDEVILLE, LA, 704716498Browse LA providers · Browse ZIP 70471
- Phone
- 9856264779
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in MANDEVILLE, LA
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM ROSS LEDOUX | — | 1801900675 |
| DR. RONALD A MADERE | DDS | 1386727980 |
| DENEAN ANGELLE CERVINI | DDS, MS | 1619005394 |
| DR. RICHARD W. BALLARD | DDS | 1861523532 |
| DR. DARREN KING MILLER | DDS | 1922251289 |
| SARITA HITHE | DDS | 1386899011 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.