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General NPI Number Information
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NPI Number | 1013374644
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Entity Type | Organization
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Legal Business Name | DUSTIN JOUBERT DDS INC
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 806 N MAIN ST
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City | JENNINGS
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State | LA
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Zip | 70546-4728
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Country | US
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Telephone | 337-824-2422
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Fax | 337-824-0047
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Provider Business Mailing Address
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Address Line | 806 N. MAIN ST
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City | JENNINGS
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State | LA
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Zip | 70546
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Country | US
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Telephone | 337-824-2422
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Fax | 337-824-0047
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Authorized Official
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Title or Position | OWNER/OWNER
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Name | DUSTIN JOUBERT
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Credential | DDS
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Telephone | 337-824-2422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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