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Dr. Todd S. Brasuell Llc
Pediatric Dentist in Covington, Louisiana
NPI 1023732625

Dr. Todd S. Brasuell Llc is a Pediatric Dentist based in Covington, LA and is specialized in Pediatric Dentistry. Dr. Todd S. Brasuell Llc practices in Covington, LA. The NPI Number for Dr. Todd S. Brasuell Llc is 1023732625 and holds a License No. (Louisiana).

The current practice location address for Dr. Todd S. Brasuell Llc is 189 Greenbrier Blvd Ste A, Covington, LA and can be reached out via phone at 985-892-5942.

Location: 189 Greenbrier Blvd Ste A, Covington, LA, 70433-7297
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023732625
Provider Name
Dr. Todd S. Brasuell Llc
Credential
Provider Entity Type
Organization
Address
189 Greenbrier Blvd Ste A, Covington, LA, 70433-7297
Phone Number
985-892-5942
Fax Number
Provider Enumeration Date
09/28/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1855502 05 LA
institution
Provider Business Practice Location Address Details
Address
189 Greenbrier Blvd Ste A
City
Covington
State
Louisiana
Zip
70433-7297
Phone Number
985-892-5942
Fax Number
person
Provider Business Mailing Address Details
Address
189 Greenbrier Blvd Ste A
City
Covington
State
Louisiana
Zip
70433-7297
Phone Number
985-892-5942
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
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Definition
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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