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Provider Profile

Jack S. Broussard, D.D.S.

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At a glance

About Dr. Broussard

Jack S. Broussard, D.D.S. is a general practice dentistry based in Pasadena, CA. The provider's National Provider Identifier (NPI) is 1821093832.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

CA · Dental LicenseDental Board of California
No. 26040Current (inactive)Expires Feb 2027Since 1976
NPINational Provider Identifier
1821093832Issued 2005

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Common questions

What does Jack S. Broussard specialize in?

Jack S. Broussard is a dentist in Pasadena, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “General Practice Dentistry”.

NPI registry

Where is Jack S. Broussard located?

Jack S. Broussard is listed at 301 S Fair Oaks Ave Ste 204, Pasadena, CA 91105. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jack S. Broussard's phone number?

The number on file is (626) 796-3161. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jack S. Broussard's NPI number?

Jack S. Broussard's National Provider Identifier is 1821093832. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Jack S. Broussard been practicing?

Jack S. Broussard has 21+ years experience. Registered with an NPI since 2005. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Jack S. Broussard confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jack S. Broussard. If this is you, claiming it is free.

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