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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ANDREW JOSEPH BROUILLETTE, DDS

Active Sole Proprietor

DR. ANDREW JOSEPH BROUILLETTE, DDS is a General Dentistry healthcare provider located in SHREVEPORT, Louisiana. NPI 1972008332 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SHREVEPORT, LA

Registration Details

NPI Number
1972008332
Provider Type
Individual
Gender
Male
NPI Issued
Mar 28, 2018 (8.3941517182308 yrs)
Last Updated
Jul 29, 2024
License
6843 (LA)
Sole Proprietor
Yes

Practice Information

Address
6150 LINE AVE
SHREVEPORT, LA, 711062051
Browse LA providers · Browse ZIP 71106
Phone
3188685726
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in SHREVEPORT, LA

Name Credential NPI
DR. BRIAN BROADWELL D.D.S. 1689679383
DR. JOHNNY LYNN BLACK D.D.S. 1437155660
DR. BASEEMAH SAFA NAJEEULLAH D.D.S. 1700877859
DR. MICHAEL EDWARD WOOLBERT DDS 1396702908
DR. DOUGLAS TROY TALLEY JR. DDS 1932167848
DR. JAMES RICHARD BROWN JR. DDS 1013975879
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.