Dr. Carl J Breaux, D.D.S.
Dentist, General Practice in Lafayette, LA. Individual provider (NPI-1).
NPI number1801012018
StatusActive
Last updated in NPPESFeb 27, 2020
Details
- NPI
- 1801012018
- Entity type
- Individual (NPI-1)
- Name
- Dr. Carl J Breaux
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 17, 2007
- Certification date
- Feb 27, 2020
- Last updated
- Feb 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3761 | LA | Yes |
Practice location
300 Bertrand DrLafayette, LA 70506-5635
Phone 337-261-0214 · Fax 337-235-3550
Mailing address
300 Bertrand DrLafayette, LA 70506-5635
Phone 337-261-0214 · Fax 337-235-3550
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