Organization · Type 2 NPI

Joel E. Broussard Jr. D.d.s.,m.s. Inc.

Orthodontics and Dentofacial Orthopedics Dentistry · Austin, TX

NPI number 1619280781 Active

Practice location

11149 Research Blvd Ste 270
Austin, TX 78759-5227

Fax (512) 502-9689

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	8751 (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 1619280781

Joel E. Broussard Jr. D.d.s.,m.s. Inc.'s National Provider Identifier is 1619280781, issued on Jul 19, 2010. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Austin, TX. The record was last updated on Aug 11, 2011.