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

Iennusa Orthodontics, Inc

Organization Dental Clinic/Center · NPI 1306279039

Iennusa Orthodontics, Inc is a Dental Clinic/Center in Mandeville, Louisiana. Licensed in Louisiana. Registered with an NPI since 2013.

Licensed in
LA
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2245 11th St Ste C
Mandeville, LA 70471-6498
Phone: (985) 626-4779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 5188 (LA)

Record details

NPI number1306279039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Iennusa — President/Orthodontist · (985) 626-4779
NPI enumeratedAugust 16, 2013
Last updated in NPPESAugust 16, 2013
Mailing address2245 11th St Ste C, Mandeville, LA 70471-6498

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