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NPI 1043131501 · live from the CMS NPI Registry

A Professional Dental Organization

Dentist in Baton Rouge, LA. National Provider Identifier 1043131501, active.

NPI record

NPI1043131501 Type 2 · organization
StatusActive
Primary specialtyDentist 122300000X
Practice location7660 Goodwood Blvd Ste A101, Baton Rouge, LA 70806
Practice phone225-928-5600
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024
EnumeratedJuly 22, 2026
Last updatedJuly 22, 2026
Authorized officialErika Menjivar, Sr. Credentialing Specialsit
Other namesBrien Family Dentistry

Taxonomies and licenses

TaxonomyCodeLicense
Dentist primary122300000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.