Provider Demographics
NPI:1538429600
Name:PATELLA, JOSHUA C (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:C
Last Name:PATELLA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6547 AVENUE A
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2146
Mailing Address - Country:US
Mailing Address - Phone:504-338-4133
Mailing Address - Fax:
Practice Address - Street 1:101 W ROBERT E LEE BLVD
Practice Address - Street 2:#305
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-2459
Practice Address - Country:US
Practice Address - Phone:504-282-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6281122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist