Raymond Eddie Broussard in Rio Rancho - Dentist
Raymond Eddie Broussard - NPI 1558478560
Raymond Eddie Broussard is a Dentist in Rio Rancho, New Mexico. Raymond Eddie Broussard practices all healthcare services and medical treatments related to Dentist. The NPI Number for Raymond Eddie Broussard is 1558478560. The last update date is 2007-07-08.
Raymond Eddie Broussard's current location address is 1724 Grande Blvd, Rio Rancho, New Mexico. You can contact this provider via phone number 5058960245 and fax number 5058927579. The mailing address for Raymond Eddie Broussard is 1724 Grande Blvd, Rio Rancho, New Mexico. To know further, please read the information below!
Provider Profile Detail
Provider Name | Raymond Eddie Broussard |
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Address | 1724 Grande Blvd, Rio Rancho, New Mexico |
Phone Number | 5058960245 |
Fax Number | 5058927579 |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1558478560 |
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Provider Enumeration Date | 2006-08-24 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1724 Grande Blvd |
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City | Rio Rancho |
State | New Mexico (NM) |
Post Code | 87124 |
Phone Number | 5058960245 |
Fax Number | 5058927579 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | DD1745 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
83918 | NM | -- |
Post Comment/ Review Below
What is the Raymond Eddie Broussard's 1558478560?
The Raymond Eddie Broussard's NPI (National Provider Identifier) Number is 1558478560. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Raymond Eddie Broussard is physically located?
The Raymond Eddie Broussard is physically situated at the following address: 1724 Grande Blvd, Rio Rancho, NM, 87124.
What is the area of specialization for Raymond Eddie Broussard, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Raymond Eddie Broussard is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558478560 to Raymond Eddie Broussard?
The Centers for Medicare & Medicaid Services assigned the 1558478560 to Raymond Eddie Broussard on 2006-08-24.
When was the Raymond Eddie Broussard's information last updated?
The Raymond Eddie Broussard's information was last updated on 2007-07-08.