Individual provider · Type 1 NPI

Rayfus Joseph Broussard, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Beaumont, TX

NPI number 1487752887 Active

Practice location

1120 Longfellow
Beaumont, TX 77706-4845

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	11407 (TX)

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…

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About NPI 1487752887

Rayfus Joseph Broussard, DDS's National Provider Identifier is 1487752887, issued on Sep 20, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Beaumont, TX. The record was last updated on Jul 8, 2007.