National Provider Identifier Database

MARK S DEROUEN, DDS – NPI #1134253768
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

MARK S DEROUEN, DDS
2301 OLD JEANERETTE ROAD
NEW IBERIA, LA70563
Phone: 337-367-8910
Fax: 337-367-8919
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for MARK S DEROUEN

NPI Number 1134253768
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/15/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • LA License #: 4270
  • LA Medicaid: 1847202
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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