Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS RYAN BROUSSARD, DDS
ActiveDR. NICHOLAS RYAN BROUSSARD, DDS is a Dentist healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1356918676 is currently active in the NPPES registry. Verify at CMS.
Dentist · FAYETTEVILLE, NC
Registration Details
- NPI Number
- 1356918676
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2021 (5.1716162735944 yrs)
- Last Updated
- Jun 6, 2021
- License
-
12219 (NC)
Practice Information
- Address
-
2029 VALLEYGATE DRFAYETTEVILLE, NC, 283043771Browse NC providers · Browse ZIP 28304
- Phone
- 9104858884
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in FAYETTEVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| DR. NGOZIKA U DAKA | DMD | 1902896335 |
| DR. MARIA MARIBEL NEVILS | DDS | 1225018450 |
| DR. JESSE EDGAR HOWARD | D.D.S. | 1407895501 |
| MRS. TRACIE WILLIAMS-LEGETTE | DDS | 1699710855 |
| DR. NATHANIEL HIFKO | DDS | 1942233713 |
| DR. OLIVER LEE HODGE II | — | 1669406203 |
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.