Dr. John Iennusa JR.
Orthodontists
2245 11th St Ste C
Mandeville
, Louisiana 70471-6498
Dr. John Iennusa JR.
Orthodontists
2245 11th St Ste C
Mandeville
, Louisiana 70471-6498
(985) 626-4779
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. John Iennusa JR.
- 2245 11th St Ste C
- Mandeville, LA
- Zip : 70471-6498
- Phone : (985) 626-4779
Second Address
- Dr. John Iennusa JR.
- 2245 11th St Ste C
- Mandeville, LA
- Zip : 70471-6498
- Phone : (985) 626-4779
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 5188 | LA |
National Provider Identifier
| NPI | 1033550181 |
|---|---|
| Provider Name | Dr. John Iennusa JR. |
| First Address | Mandeville, LA 70471-6498 |
| Second Address | Mandeville, LA 70471-6498 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2013 |
| Last Update Date | 17/07/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.