| Melancon Family Dentistry Llc | |
|
300 W Madison St Broussard LA 70518-4518 | |
| (337) 837-1861 | |
| (337) 837-1278 |
| Full Name | Melancon Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 300 W Madison St, Broussard, Louisiana |
| Authorized Official Name and Position | Matthew John Melancon (OWNER/DENTIST) |
| Authorized Official Contact | 3378371861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melancon Family Dentistry Llc 300 W Madison St Broussard LA 70518-4518 Ph: (337) 837-1861 | Melancon Family Dentistry Llc 300 W Madison St Broussard LA 70518-4518 Ph: (337) 837-1861 |
| NPI Number | 1063759736 |
|---|---|
| Provider Enumeration Date | 01/14/2013 |
| Last Update Date | 01/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063759736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5974 (Louisiana) | Primary |
William S Darr Dds Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 S Morgan Ave, Broussard, LA 70518 Phone: 337-837-3117 Fax: 337-837-5795 |