DR. TODD STEPHEN BRASUELL DDS NPI 1679585392

NPI Information

NPI: 1679585392
Provider Name: DR. TODD STEPHEN BRASUELL, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
71107 HIGHWAY 21
SUITE 2
COVINGTON, LA
ZIP 70433
Phone: (985) 892-5942
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DR. Todd Stephen Brasuell, DDS is a pediatric dentistry dentist in Covington, LA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Todd Stephen Brasuell, DDS NPI is 1679585392. 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:

71107 HIGHWAY 21
SUITE 2
COVINGTON, LA
ZIP 70433-243
Phone: (985) 892-5942
Fax: (985) 892-8996

The enumeration date for this NPI number is 8/12/2006 and was last updated on 7/8/2007.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	5550	LOUISIANA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1855502	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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