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BREAUX BRIDGE FAMILY DENTISRTY NPI 1386099281


NPI Information

NPI: 1386099281
Provider Name: BREAUX BRIDGE FAMILY DENTISRTY
Classification: Dentist - 122300000X
Entity Type: Organization

CLIA Number: 19D2152984

Address:
1329 GRAND POINTE AVE
BREAUX BRIDGE, LA
ZIP 70517
Phone: (337) 442-3164
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BREAUX BRIDGE FAMILY DENTISRTY is a dentist in Breaux Bridge, LA. The provider is 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. BREAUX BRIDGE FAMILY DENTISRTY NPI is 1386099281. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1329 GRAND POINTE AVE
BREAUX BRIDGE, LA
ZIP 70517-921
Phone: (337) 442-3164
Fax: (337) 332-5159

The provider's authorized official is Dixie Durio .
The authorized official title is Office Manager and has the following contact phone number (337) 442-1647.

The CLIA number assigned to this NPI record is 19D2152984 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2016 and was last updated on 4/28/2016.


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
1122300000XDentistLOUISIANAYes

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: 5/5/2024

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