Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Esthetic MD

Organization Dermatology Physician · NPI 1235643891

Esthetic MD provides Dermatology Physician services in Slidell, Louisiana. Licensed in Louisiana. Registered with an NPI since 2017.

Licensed in
LA
In the registry since
2017
Specialties on file
3

Practice location Address checks out

3769 Pontchartrain Dr Ste 3
Slidell, LA 70458-4852
Phone: (985) 641-5476
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD.206408 (LA)
Dermatology Physician Taxonomy 207N00000X · Licence MD016771 (LA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 16771 (LA)

Record details

NPI number1235643891
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Bonney — Manager/ Billing · (228) 254-0495
NPI enumeratedNovember 18, 2017
Last updated in NPPESNovember 18, 2017
Mailing address3769 Pontchartrain Dr Ste 3, Slidell, LA 70458-4852

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