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General NPI Number Information
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NPI Number | 1013648245
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Entity Type | Organization
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Legal Business Name | PUISSEGUR FAMILY DENTISTRY LLC
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Dates
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Enumeration Date | 06/20/2022
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 201 RUE LOUIS XIV
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City | LAFAYETTE
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State | LA
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Zip | 70508-5736
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Country | US
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Telephone | 337-984-9400
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Fax | 337-984-9401
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Provider Business Mailing Address
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Address Line | 201 RUE LOUIS XIV
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City | LAFAYETTE
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State | LA
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Zip | 70508-5736
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Country | US
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Telephone | 337-984-9400
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. ELISE M PUISSEGUR
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Credential | D.D.S
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Telephone | 337-984-9400
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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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