Gantt Nicholson Dejean
Pediatric Dentist
1604 Kerr St Suite 101
Opelousas
, Louisiana 70570
Gantt Nicholson Dejean
Pediatric Dentist
1604 Kerr St Suite 101
Opelousas
, Louisiana 70570
(337) 942-8161
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Gantt Nicholson Dejean
- 1604 Kerr St Suite 101
- Opelousas, LA
- Zip : 70570
- Fax : (337) 942-8161
- Phone : (337) 948-8253
Second Address
- Gantt Nicholson Dejean
- 1604 Kerr St Suite 101
- Opelousas, LA
- Zip : 70570
- Fax : (337) 942-8161
- Phone : (337) 948-8253
Reviews
FAQs
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Is Gantt Nicholson Dejean a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 2435 | LA |
National Provider Identifier
| NPI | 1083752422 |
|---|---|
| Provider Name | Gantt Nicholson Dejean |
| First Address | Opelousas, LA 70570 |
| Second Address | Opelousas, LA 70570 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.