Breaux Bridge Family Dentisrty

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BREAUX BRIDGE FAMILY DENTISRTY

Practice address

1329 Grand Pointe Ave
Breaux Bridge, LA 70517-3921

Phone

(337) 442-3164

Fax

(337) 332-5159

NPI assigned

Apr 28, 2016

Organization subpart

No

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

Authorized official

Name

Dixie Durio

Title

Office Manager

Phone

(337) 442-1647

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bennett P. Fontenot

  • General Practice Dentistry
  • Breaux Bridge, LA
  • NPI 1962559609
  NPD (past)
• Hiep Q. Nguyen

  • General Practice Dentistry
  • Breaux Bridge, LA
  • NPI 1295884518
  NPD (past)
• Ryan Terry

  • General Practice Dentistry
  • Breaux Bridge, LA
  • NPI 1740448158
  NPD (past)

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1386099281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 GRAND POINTE AVE",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173921",
            "telephone_number": "337-442-3164",
            "fax_number": "337-332-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 GRAND POINTE AVE",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173921",
            "telephone_number": "337-442-3164",
            "fax_number": "337-332-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAUX BRIDGE FAMILY DENTISRTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "DURIO",
        "authorized_official_first_name": "DIXIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-442-1647"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bon Ami Pharmacy
• Sierra Boutte, LCSW
• Felicia S Bowman
• Michael Box, M.S., CCC-SLP
• Breaux Bridge Chiropractic
• Breaux Bridge MM LLC
• Breaux Bridge Physical Therapy and Wellness LLC
• David Breaux, PT
• Brookshire Grocery Company
• Alan P. Broussard, MD

• Dentist in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.