Dr. Jack S Broussard Jr.
D.D.S. | Dentist
301 S Fair Oaks Ave, Ste 204, Pasadena
California, 91105-2536
626-796-3161 626-796-6760
Maps & DirectionsDr. Jack S Broussard Jr. is a Pasadena, California based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jack S Broussard Jr. is
DN26040 for General Practice Dentistry in California. His current practice location is
301 S Fair Oaks Ave, Ste 204, Pasadena. Patients can reach him at
626-796-3161.
Dr. Jack S Broussard Jr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jack S Broussard Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Jack S Broussard Jr. |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 301 S Fair Oaks Ave, Ste 204, Pasadena,
California, 91105-2536 |
| Phone: | 626-796-3161 |
| Fax: | 626-796-6760 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1821093832 |
| NPI Enumeration Date: | 16 Jun, 2005 |
| NPI Last Update On: | 25 Oct, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jack S Broussard Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| DN26040 | General Practice Dentistry | California | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 301 S Fair Oaks Ave, Ste 204
Pasadena, California |
| Zip: | 91105-2536 |
| Phone Number: | 626-796-3161 |
| Fax Number: | 626-796-6760 |
Patients can reach Dr. Jack S Broussard Jr. at
301 S Fair Oaks Ave, Ste 204, Pasadena, California or can
call to book an appointment on 626-796-3161.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.