# JADE F FONTENOT DDS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1861978041
- **Authorized official:** DR. JADE F FONTENOT DDS (OWNER)
- **Authorized official phone:** (337) 783-2455

## Contact information

- **Practice address:** 725 N AVENUE K, CROWLEY, LA 70526-3848
- **Practice address phone:** (337) 783-2455
- **Practice address fax:** (337) 783-3815
- **Mailing address:** 725 N AVENUE K, CROWLEY, LA 70526-3848
- **Mailing address phone:** (337) 783-2455
- **Mailing address fax:** (337) 783-3815

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6673 | LA | Yes |

## Other

- **Enumeration date:** 07/11/2018
- **Last updated:** 07/11/2018