Devereux and Nguyen LLC

NPI #1467665505 in Harvey, Louisiana

Provider Information

NPI Number: 1467665505
Entity Type: Organization
Organization Name: Devereux and Nguyen LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: May 7, 2007
Last Updated: May 24, 2013

Practice Location

Address: 2800 MANHATTAN BLVD.
Address 2: SUITE D
City: Harvey
State: Louisiana
ZIP Code: 70058-2904
Phone: (504) 368-7513

Authorized Official

Name: DR. JACK P DEVEREUX, D.D.S., M.S.
Title: OWNER AND ORTHODONTIST
Phone: (504) 368-7513

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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