Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK P DEVEREUX, D.D.S., M.S.
Active Sole ProprietorDR. JACK P DEVEREUX, D.D.S., M.S. is a Orthodontics healthcare provider located in SLIDELL, Louisiana. NPI 1376620906 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · SLIDELL, LA
Registration Details
- NPI Number
- 1376620906
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.739429800362 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
3676 (LA)2971 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2330 GAUSE BLVD ESLIDELL, LA, 704614141Browse LA providers · Browse ZIP 70461
- Phone
- 9856411115
- Fax
- 9856418589
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in SLIDELL, LA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL JEFFREY GUEVARA | D.D.S. | 1760420525 |
| DR. KAY D DANIEL | DDS | 1174537211 |
| DR. BRIAN DUVERNAY | DDS | 1871814871 |
| EUN CHEE LEE | DDS, MSD | 1780137703 |
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.