Individual provider · Type 1 NPI
Jack P. Devereux, DDS, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Slidell, LA
Practice location
2330 Gause Blvd E
Slidell, LA 70461-4141
Fax (985) 641-8589
Mailing address
2330 E. Gause Blvd.
Slidell, LA 70461-4141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 3676 (LA) |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2971 (MS) |
Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…
2 other providers at this address
Other orthodontics and dentofacial orthopedics dentistry providers in Slidell
- Kay D. Daniel, DDSOrthodontics and Dentofacial Orthopedics Dentistry Slidell, LA NPI 1174537211
- Michael Jeffrey Guevara, DDSOrthodontics and Dentofacial Orthopedics Dentistry Slidell, LA NPI 1760420525
- Eun Chee Lee, DDS, MSDOrthodontics and Dentofacial Orthopedics Dentistry Slidell, LA NPI 1780137703
- Brian Duvernay, DDSOrthodontics and Dentofacial Orthopedics Dentistry Slidell, LA NPI 1871814871
About NPI 1376620906
Jack P. Devereux, DDS, M.S.'s National Provider Identifier is 1376620906, issued on Nov 1, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Slidell, LA. The record was last updated on Jul 8, 2007.