RAYFUS J BROUSSARD, DDS INC


Address: 1120 Longfellow Dr, Beaumont, TX 77706-4845
Phone: 4098987847

RAYFUS J BROUSSARD, DDS INC (NPI# 1669743498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669743498
Entity Type Organization
Organization Name RAYFUS J BROUSSARD, DDS INC
Practice Address 1120 Longfellow Dr
Beaumont
TX 77706-4845
Practice Telephone 4098987847
Mailing Telephone 4098987847
Enumeration Date 2012-01-25
Last Update Date 2012-01-25
Authorized Official Name DR. RAYFUS J BROUSSARD (ORTHODONTIST)
Authorized Official Telephone 4098987847
Authorized Official Credential D.D.S.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
11407 TX Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 164122701 05

Office Location

Street Address 1120 LONGFELLOW DR
City BEAUMONT
State TX
Zip Code 77706-4845

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457356834 John Charles Reimers Dentist 1120 Longfellow Dr, Beaumont, TX 77706-4845 2005-06-14
1083988265 Charles E, Dyer IIi Dds Dentist 1120 Longfellow Dr, Beaumont, TX 77706-4845 2012-03-06
1194813634 Charles Edward Dyer IIi Dentist 1120 Longfellow Dr, Beaumont, TX 77706 2006-10-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982176293 Allen Family Home Care LLC In Home Supportive Care 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 2018-12-27
1730661174 Joseph Pryor Ingram Counselor 5450 Folsom Road #3, Beaumont, TX 77706 2018-09-02
1336644582 Jenny Lee Broaddus Counselor 8150 N. Major Dr., Beaumont, TX 77706 2018-03-29
1528584026 Amanthia Peace Williams Pedorthist 3645 Calder Ave., Beaumont, TX 77706 2017-08-16
1356863286 Nicole Denise Williams Speech-Language Pathologist 970 North 23rd Street, Beaumont, TX 77706 2017-07-12
1487038923 Associates for Dental Health, Pllc Dentist 415 Dowlen Rd Ste A, Beaumont, TX 77706 2015-07-15
1508264532 Rose Anne Essex Dietitian, Registered 3510 Charleston Ln, Beaumont, TX 77706 2014-12-08
1780001933 C. Asteris, Inc. Contractor 1465 W. Lucas Dr., Beaumont, TX 77706 2014-03-26
1376985820 Erica J Hayes M D P A Preferred Provider Organization 4a Bayou Brandt Drive, Beaumont, TX 77706 2013-07-25
1194162909 Hezron Omanga Pharmacist 3585 N. Dowlen Road, Beaumont, TX 77706 2013-06-03
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366728040 Beaumont Orthodontic Specialists Dentist 3954 Eastex Freeway, Beaumont, TX 77703 2011-10-26
1760772255 Norman E. Carter Dds Ms Inc Dentist 851 E 6th St B3, Beaumont, CA 92223-2373 2011-04-18
1447569595 Gabriela Elizabeth Garcia Dentist 11188 Runyan Rd, Beaumont, CA 92223-6209 2010-10-06
1811139439 David Dean Reynard Dentist 3333 North Street, Suite C, Beaumont, TX 77706-5032 2009-03-27
1710171772 Norman Eric Carter Dentist 851 E 6th St Ste B3, Beaumont, CA 92223-2371 2007-09-04
1376760819 Ronald Keith Risinger Dentist 3190 North St, Beaumont, TX 77702-1420 2007-04-19
1942345582 Ronald K. Risinger, Dds, Ms, PC Dentist 3954 Eastex Fwy, Beaumont, TX 77703-1814 2007-02-21
1881752855 Terry Syler Dentist 3350 Mcfaddin St, Beaumont, TX 77706-5033 2006-12-04
1487752887 Rayfus Joseph Broussard Dentist 1120 Longfellow, Beaumont, TX 77706-4845 2006-09-20
1699014530 Matthew Lindon Rushing Dentist 3954 Eastex Fwy, Beaumont, TX 77703-1814 2013-02-13
Find all providers in BEAUMONT

Competitor

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City BEAUMONT
Zip Code 77706

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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