NPI 1508995291

Scott Christopher Boudreaux, RDH

Practitioner Dental Hygienist Lafayette, LA

Practice location

Address: 510 Guilbeau Rd Suite C-2, Lafayette, LA 70506-8400
Phone: (337) 993-0977
Fax: (337) 993-0978
Mailing address: 103 Kettle CT, Broussard, LA 70518-5183

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 3064 (LA)

Other Dental Hygienist providers in Louisiana →

Registry record

NPI: 1508995291
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.