Individual provider · Type 1 NPI
Mark Randal Comeaux, DDS
Periodontics · Lafayette, LA
NPI number
1083739486
Active
Practice location
3839 West Congress Street, Suite D
Lafayette, LA 70506-6021
Fax (337) 989-9030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 3129 (LA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
Other periodontics providers in Lafayette
About NPI 1083739486
Mark Randal Comeaux, DDS's National Provider Identifier is 1083739486, issued on Mar 21, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Lafayette, LA. The record was last updated on Jul 8, 2007.