person
Gantt Nicholson Dejean, DDSMS
Pediatric Dentist in Opelousas, Louisiana
NPI 1083752422

Gantt Nicholson Dejean is a Pediatric Dentist based in Opelousas, LA and is specialized in Pediatric Dentistry. Gantt Nicholson Dejean practices in Opelousas, LA and has the professional credentials of DDSMS. The NPI Number for Gantt Nicholson Dejean is 1083752422 and holds a License No. 2435 (Louisiana).

The current practice location address for Gantt Nicholson Dejean is 1604 Kerr St, Opelousas, LA and can be reached out via phone at 337-948-8253 and via fax at 337-942-8161.

Location: 1604 Kerr St, Opelousas, LA, 70570
person
Provider Profile Details
NPI Number
1083752422
Provider Name
Gantt Nicholson Dejean
Credential
DDSMS
Provider Entity Type
Individual
Gender
Male
Address
1604 Kerr St, Opelousas, LA, 70570
Phone Number
337-948-8253
Fax Number
337-942-8161
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1604 Kerr St
City
State
Zip
70570
Phone Number
337-948-8253
Fax Number
337-942-8161
person
Provider Business Mailing Address Details
Address
1604 Kerr St
City
State
Zip
70570
Phone Number
337-948-8253
Fax Number
337-942-8161
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
2435 (Louisiana)
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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