Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.