# EASYCAREWELLNESSANDDENTISTRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104376714
- **Authorized official:** MR. JOHNNY MCLAUGHLIN III (MANAGER)
- **Authorized official phone:** (504) 258-8870

## Contact information

- **Practice address:** 2145 REV. RICHARD WILSON DR, KENNER, LA 70062
- **Practice address phone:** (504) 258-8870
- **Mailing address:** 5138 MARIGNY ST, NEW ORLEANS, LA 70122-5118
- **Mailing address phone:** (504) 258-8870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 122300000X | NULL | — |
| 122300000X | Dentist | 122300000X | — | — |
| 156FX1100X | Ophthalmic Technician/Technologist | 156FX1100X | NULL | — |
| 156FX1100X | Ophthalmic Technician/Technologist | 156FX1100X | — | — |
| 207R00000X | Internal Medicine Physician | 207R00000X | NULL | — |
| 207R00000X | Internal Medicine Physician | 207R00000X | — | — |
| 207W00000X | Ophthalmology Physician | 207W00000X | NULL | Yes |
| 207W00000X | Ophthalmology Physician | 207W00000X | — | Yes |

## Other

- **Enumeration date:** 10/06/2016
- **Last updated:** 10/06/2016