DR. MICHAEL JOSEPH BOUDREAUX D.D.S. NPI 1154583714

NPI Information

DR. Michael Joseph Boudreaux, D.D.S. is a general practice dentist in Houma, LA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Michael Joseph Boudreaux, D.D.S. NPI is 1154583714. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

809 W TUNNEL BLVD
HOUMA, LA
ZIP 70360-555
Phone: (985) 851-1717
Fax: (985) 851-7183

The NPI 1154583714 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/25/2008 and was last updated on 10/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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