Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Esthetic MD

Organization Dermatology Physician · NPI 1235643891

Esthetic MD is a Dermatology Physician 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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