DR. ANDREW JOSEPH BROUILLETTE


Address: 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106
Phone: 3185247729

DR. ANDREW JOSEPH BROUILLETTE (NPI# 1972008332) 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) 1972008332
Entity Type Individual
Full Name DR. ANDREW JOSEPH BROUILLETTE
Credential DDS
Practice Address 385 Bert Kouns Industrial Loop Ste 700
Shreveport
LA 71106
Mailing Address 4956 Old Oak Dr
Benton
LA 71006-9366
Practice Telephone 3185247729
Mailing Telephone 3184580478
Enumeration Date 2018-03-28
Last Update Date 2018-06-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
6843 LA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA DRIVER'S LICENSE 008580874 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2557 Viking Drive, Bossier City, LA 71111 3185247729

Office Location

Street Address 385 BERT KOUNS INDUSTRIAL LOOP STE 700
City SHREVEPORT
State LA
Zip Code 71106

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548775885 David Wayne Spears Pharmacist 10460 Norris Ferry Road, Shreveport, LA 71106 2017-12-08
1225559263 Susan Anderson Roblow Physical Therapist 921 Unadilla Street, Shreveport, LA 71106 2017-06-29
1134656382 James Lowder Dentist 8691 Line Ave Ste 300, Shreveport, LA 71106 2017-05-18
1144753708 Laverne Brantley Counselor 328 E 69th St, Shreveport, LA 71106 2017-04-10
1437690849 Biostat Laboratories, LLC Clinical Medical Laboratory 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 2017-03-17
1841730728 Cedric Thomas Case Manager/Care Coordinator 6811 Fairfield Avenue, Shreveport, LA 71106 2017-02-27
1225576192 Nick Vergis Pharmacist 5828 Line Avenue, Shreveport, LA 71106 2017-02-10
1184162554 Marilyn Johnson Case Manager/Care Coordinator 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 2017-02-06
1417499740 Pamela Lee Counselor 8802 Coyth Ln, Shreveport, LA 71106 2016-11-17
1871044586 Lester Jackson Jr. Case Manager/Care Coordinator 378 W. 79th St, Shreveport, LA 71106 2016-10-18
Find all providers in zip 71106

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003385899 Scruggs Dental LLC Dentist 2001 E. 70th Street, Suite 105, Shreveport, LA 71005 2018-11-21
1679059539 Michael E Woolbert Dds LLC Dentist 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 2018-07-13
1003310053 Erin O'neal Dentist 7030 Youree Dr Ste B, Shreveport, LA 71105-5109 2018-03-22
1487166450 Emile T. Geneux IIdds, Benjamin A. Beach Dds, and Ross H. Dies Dds, Ll Dentist 2533 Bert Koun Loop Ste 107, Shreveport, LA 71118-3158 2017-10-31
1134656382 James Lowder Dentist 8691 Line Ave Ste 300, Shreveport, LA 71106 2017-05-18
1720447147 Dr. Monica A. Davenport, Dds Apc Dentist 1850 Martin Luther King Dr., Shreveport, LA 71107-5020 2016-02-12
1366822710 A Brighter Smile Dentist 385 Bert Kouns Loop, Suite 700, Shreveport, LA 71106-8158 2015-06-01
1104250364 Witte Family Dentistry, LLC Dentist 137 E Kings Hwy, Shreveport, LA 71104-3404 2013-08-23
1063792752 Ivy Dental Dentist 460 Ashley Ridge Blvd Ste 600, Shreveport, LA 71106-7238 2011-08-25
1518290592 Marian E Feducia Dentist 3503 Youree Dr, Shreveport, LA 71105-2119 2009-09-09
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71106

Improve Information

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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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