Individual provider · Type 1 NPI

Carl B. Gonsoulin, DDS

Pediatric Dentistry · Lafayette, LA

NPI number 1689758096 Active

Practice location

126 Hospital Dr
Lafayette, LA 70503-2819

Call (337) 232-0689 Map

Fax (337) 234-7395

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X2355 (LA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1689758096

Carl B. Gonsoulin, DDS's National Provider Identifier is 1689758096, issued on Oct 24, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Lafayette, LA. The record was last updated on Jul 8, 2007.