Provider Demographics
NPI:1528446150
Name:ALGIERS DENTAL ASSOCIATES LLC
Entity type:Organization
Organization Name:ALGIERS DENTAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:HOBGOOD
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:225-229-9159
Mailing Address - Street 1:5949 LOUISVILLE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2920
Mailing Address - Country:US
Mailing Address - Phone:225-229-9159
Mailing Address - Fax:
Practice Address - Street 1:3712 MACARTHUR BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-6802
Practice Address - Country:US
Practice Address - Phone:504-361-3277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA63031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty