Provider Demographics
NPI:1245023183
Name:DENTON, CAITLIN TODD (DDS)
Entity type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:TODD
Last Name:DENTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 N WOODLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2844
Mailing Address - Country:US
Mailing Address - Phone:225-229-7610
Mailing Address - Fax:
Practice Address - Street 1:7393 HIGHWAY 44
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-8126
Practice Address - Country:US
Practice Address - Phone:225-473-7766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7669122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty