Search › Louisiana › 1223X0400X
John Iennusa, DDS
NPI 1033550181 · on the registry since 2013
Practice
- Address
- 2245 11th St Ste C
Mandeville, LA 70471 - Phone
- (985) 626-4779
- Organisation at this address
- Dr. Roy L. Grob, Inc
Iennusa Orthodontics, Inc.Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana