Todd Stephen Brasuell in Covington - Pediatric Dentistry
Todd Stephen Brasuell - NPI 1679585392
Todd Stephen Brasuell is a Pediatric Dentistry in Covington, Louisiana. Todd Stephen Brasuell practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Todd Stephen Brasuell is 1679585392. The last update date is 2007-07-08.
Todd Stephen Brasuell's current location address is 71107 Highway 21, Covington, Louisiana. You can contact this provider via phone number 9858925942 and fax number 9858928996. The mailing address for Todd Stephen Brasuell is 71107 Highway 21, Covington, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd Stephen Brasuell |
|---|---|
| Address | 71107 Highway 21, Covington, Louisiana |
| Phone Number | 9858925942 |
| Fax Number | 9858928996 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1679585392 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 71107 Highway 21 |
|---|---|
| City | Covington |
| State | Louisiana (LA) |
| Post Code | 704337243 |
| Phone Number | 9858925942 |
| Fax Number | 9858928996 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5550 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1855502 | LA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Todd Stephen Brasuell by the Centers for Medicare & Medicaid Services?
The Todd Stephen Brasuell has been issued the NPI (National Provider Identifier) 1679585392. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Todd Stephen Brasuell?
The Todd Stephen Brasuell is physically situated at 71107 Highway 21, in the city of Covington, state of LA, with the postal code 704337243.
What is the Todd Stephen Brasuell's specialty and taxonomy code?
The Todd Stephen Brasuell's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.
When was the Todd Stephen Brasuell's 1679585392 issued?
The Todd Stephen Brasuell's 1679585392 was issued on 2006-08-12.
As of what date were the details related to Todd Stephen Brasuell most recently updated or revised?
The information pertaining to Todd Stephen Brasuell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.