Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK A BROUSSARD, DDS
ActiveMARK A BROUSSARD, DDS is a General Dentistry healthcare provider located in CROWLEY, Louisiana. NPI 1083783302 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · CROWLEY, LA
Registration Details
- NPI Number
- 1083783302
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2006 (19.728125616134 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LA4905 (LA)
Practice Information
- Address
-
608 NORTH AVENUE KCROWLEY, LA, 70526Browse LA providers · Browse ZIP 70526
- Phone
- 3377880677
- Fax
- 3377830343
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in CROWLEY, LA
| Name | Credential | NPI |
|---|---|---|
| JAMES C RICHEY | — | 1407875156 |
| STUART F TAYLOR | DDS | 1649349960 |
| DR. JOHN F TAYLOR | DDS | 1912076225 |
| DR. CHARLES L ANZALONE SR. | DDS | 1538227145 |
| KEVIN J FLASH | D.D.S. | 1497808083 |
| DR. JOHN B BURGIN | DDS | 1316072853 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.