Seth Dejean, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

6906 Issued in LA

Practice address

854 Kaliste Saloom Rd Ste B
Lafayette, LA 70508-4367

Phone

(337) 722-1510

Fax

(337) 722-1505

NPI assigned

Feb 25, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Dental Specialists of Lafayette

  • Pediatric Dentistry
  • Lafayette, LA
  • NPI 1356147268
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1245731256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CRESCENT RIDGE PL",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034116",
            "telephone_number": "225-505-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 KALISTE SALOOM RD STE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084367",
            "telephone_number": "337-722-1510",
            "fax_number": "337-722-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJEAN",
        "first_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-25",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "6906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Degray
• Taylor Catherine Degroat, LCSW
• Nicole Dehart, LMT
• Larry Dejean
• Miranda Dejean
• Federico Del Toro, M.D.
• Celeste Delafosse, LCSW
• Jason Delahoussaye, M.S., LPC
• Katherine Delahoussaye
• Lauren B Delahoussaye, LCSW

• Pediatric Dentistry in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Pediatric Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.