Provider Demographics
NPI:1972240331
Name:GOSEY, JASMIN LESHAWN (DDS)
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:LESHAWN
Last Name:GOSEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 281
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70059-0281
Mailing Address - Country:US
Mailing Address - Phone:504-875-0192
Mailing Address - Fax:
Practice Address - Street 1:6572 LA HIGHWAY 1 S, ADDIS, LA 70710
Practice Address - Street 2:
Practice Address - City:ADDIS
Practice Address - State:LA
Practice Address - Zip Code:70710
Practice Address - Country:US
Practice Address - Phone:225-320-3434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-17
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD.007311-C11223P0221X
LA77001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry