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NPI Code Detail

MEDICARE: BROOKS BABINEAUX D.D.S.

MEDICARE: BROOKS BABINEAUX D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry6385LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780019851
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKS BABINEAUX D.D.S.
Provider Business Mailing Address
First Line : 621 RUE DE ONETTA
Second Line :
City : NEW IBERIA
State : LA
Zip : 70563-2164
Country : US
Telephone Number : 337-367-3739
Fax Number : 337-369-3374
Provider Business Practice Location Address
First Line : 1009 CHARITY ST
Second Line :
City : ABBEVILLE
State : LA
Zip : 70510-5302
Country : US
Telephone Number : 337-893-3443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2013
Last Update Date : 10/16/2019

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