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Deactivated NPI 1366530230 Deactivated / Inactive NPI Male Practitioner

Dr. Philip Lindsay Carruth , DDS

Dentist • Mandeville, LA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Philip Carruth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 10, 2006
NPI Deactivation Date August 28, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Philip Carruth, DDS was a registered Dentist practicing in Mandeville, LA. Throughout an active medical career spanning 18 years, Dr. Carruth provided care at the practice location at 812 PARK AVE until profile deactivation on 2024-08-28.

Practice Location & Contact Primary Location

Practice Address

812 Park Ave

Mandeville, LA 704484921

Telephone 9856247400

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mandeville, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
19 Specialists

Practicing in Mandeville, LA (964 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License LA 2482

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Toby Cothren , DDS

Dentist - General Practice

NPI 1104859495

Doctor of Dental Surgery

Dr. Ronald Le Jeune , DDS

Dentist - Dental Public Health

NPI 1952320665

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 28, 2024

Record deactivated on August 28, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 812 PARK AVE, MANDEVILLE, LA 704484921 (Tel: 9856247400)

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Updated Business Mailing Address July 08, 2007

Registered at 152 CRAPEMYRTLE RD, COVINGTON, LA 704334766 (Tel: 9858922868)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PHILIP CARRUTH, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2482 in LA)

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Initial NPI Registration & Enumeration October 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366530230
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: July 08, 2007
Deactivation Date: August 28, 2024

Mailing Address

152 Crapemyrtle Rd

Covington, LA 704334766

Phone: 9858922868

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.