Individual provider · Type 1 NPI

John Edward 'jet' Trahan Ii, DDS, M.S.D.

Orthodontics and Dentofacial Orthopedics Dentistry · Lake Charles, LA

NPI number 1629386032 Active

Practice location

139 Gloria Dr
Lake Charles, LA 70611-5043

Fax (337) 905-8998

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	5907 (LA)

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 1629386032

John Edward 'jet' Trahan Ii, DDS, M.S.D.'s National Provider Identifier is 1629386032, issued on Sep 20, 2010. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lake Charles, LA. The record was last updated on Dec 7, 2023.