Individual provider · Type 1 NPI
Gantt Nicholson Dejean, DDS MS
Pediatric Dentistry · Opelousas, LA
NPI number
1083752422
Active
Practice location
1604 Kerr St, Suite 101
Opelousas, LA 70570
Fax (337) 942-8161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 2435 (LA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Opelousas
About NPI 1083752422
Gantt Nicholson Dejean, DDS MS's National Provider Identifier is 1083752422, issued on Feb 1, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Opelousas, LA. The record was last updated on Jul 8, 2007.