Individual provider · Type 1 NPI

Joel Earl Broussard Jr., DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Austin, TX

NPI number 1780823484 Active

Practice location

11149 Research, Suite 270
Austin, TX 78759-5279

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 1780823484

Joel Earl Broussard Jr., DDS, MS's National Provider Identifier is 1780823484, issued on Feb 19, 2009. 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 Feb 19, 2009.