Individual provider · Type 1 NPI

Erica Broussard

Dentist · Richmond, VA

NPI number 1386334720 Active

Practice location

520 N 12th St
Richmond, VA 23298-5064

Mailing address

618 S Destrehan Ave
Destrehan, LA 70047-5132

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000X0442000493 (VA)

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 1386334720

Erica Broussard's National Provider Identifier is 1386334720, issued on May 9, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Richmond, VA. The record was last updated on Jun 21, 2023.