Individual provider · Type 1 NPI
Donald Paul Boudreaux Jr., DDS
Oral and Maxillofacial Surgery (Dentist) · New Iberia, LA
NPI number
1700806775
Active
Practice location
606 Rue De Brille
New Iberia, LA 70563-2122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 5387 (LA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1700806775
Donald Paul Boudreaux Jr., DDS's National Provider Identifier is 1700806775, issued on Jul 20, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in New Iberia, LA. The record was last updated on Jan 23, 2017.