Carl B Gonsoulin in Lafayette - Pediatric Dentistry
Carl B Gonsoulin - NPI 1689758096
Carl B Gonsoulin is a Pediatric Dentistry in Lafayette, Louisiana. Carl B Gonsoulin practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Carl B Gonsoulin is 1689758096. The last update date is 2007-07-08.
Carl B Gonsoulin's current location address is 126 Hospital Dr, Lafayette, Louisiana. You can contact this provider via phone number 3372320689 and fax number 3372347395. The mailing address for Carl B Gonsoulin is 126 Hospital Dr, Lafayette, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl B Gonsoulin |
|---|---|
| Address | 126 Hospital Dr, Lafayette, Louisiana |
| Phone Number | 3372320689 |
| Fax Number | 3372347395 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1689758096 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 126 Hospital Dr |
|---|---|
| City | Lafayette |
| State | Louisiana (LA) |
| Post Code | 705032819 |
| Phone Number | 3372320689 |
| Fax Number | 3372347395 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2355 |
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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. |
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What is the unique identifier code issued to Carl B Gonsoulin by the Centers for Medicare & Medicaid Services (CMS)?
The Carl B Gonsoulin has been assigned the NPI (National Provider Identifier) 1689758096. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Carl B Gonsoulin?
The Carl B Gonsoulin is physically situated at 126 Hospital Dr, in the city of Lafayette, state of LA, with the postal code 705032819.
What is the Carl B Gonsoulin's area of specialization and corresponding taxonomy classification?
The Carl B Gonsoulin's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
When was the Carl B Gonsoulin's 1689758096 issued?
The Carl B Gonsoulin's 1689758096 was issued on 2006-10-24.
When was the information regarding Carl B Gonsoulin most recently updated?
The details pertaining to the Carl B Gonsoulin, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.