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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.