Mr. Raymond Eddie Broussard is a Rio Rancho, New Mexico based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Raymond Eddie Broussard is
DD1745 for Dentistry in New Mexico. His current practice location is
1724 Grande Blvd, Rio Rancho. Patients can reach him at
505-896-0245.
Mr. Raymond Eddie Broussard 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:
Mr. Raymond Eddie Broussard 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: | Mr. Raymond Eddie Broussard |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1724 Grande Blvd, Rio Rancho,
New Mexico, 87124 |
| Phone: | 505-896-0245 |
| Fax: | 505-892-7579 |
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: | 1558478560 |
| NPI Enumeration Date: | 24 Aug, 2006 |
| NPI Last Update On: | 08 Jul, 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 Mr. Raymond Eddie Broussard are as mentioned below.
| License Number | Specialization | State | Status | |
| DD1745 | Dentistry | New Mexico | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Raymond Eddie Broussard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 83918 | Medicaid | New Mexico | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1724 Grande Blvd,
Rio Rancho, New Mexico |
| Zip: | 87124 |
| Phone Number: | 505-896-0245 |
| Fax Number: | 505-892-7579 |
Patients can reach Mr. Raymond Eddie Broussard at
1724 Grande Blvd, Rio Rancho, New Mexico or can
call to book an appointment on 505-896-0245.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.