Individual provider · Type 1 NPI

Nicholas Ryan Broussard, DDS

Dentist · Fayetteville, NC

NPI number 1356918676 Active

Practice location

2029 Valleygate Dr
Fayetteville, NC 28304-3771

Call (910) 485-8884 Map

Mailing address

2819 Huntington Rd
Fayetteville, NC 28303-5296

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X12219 (NC)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1356918676

Nicholas Ryan Broussard, DDS's National Provider Identifier is 1356918676, issued on Jun 6, 2021. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fayetteville, NC. The record was last updated on Jun 6, 2021.