Healthcare Provider Details

I. General information

NPI: 1053407247
Provider Name (Legal Business Name): ROBERTO LLOPIS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 DOUCET RD STE B
LAFAYETTE LA
70503-3497
US

IV. Provider business mailing address

335 DOUCET RD STE B
LAFAYETTE LA
70503-3497
US

V. Phone/Fax

Practice location:
  • Phone: 337-981-8144
  • Fax: 337-981-4994
Mailing address:
  • Phone: 337-981-8144
  • Fax: 337-981-4994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number4688
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: