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Avis Broussard, D,D.S.
NPI 1154543833 · Dentist · Southfield, MI
Avis Broussard, D,D.S. is a Dentist provider in Southfield, MI (NPI 1154543833).
Provider details
- NPI number
- 1154543833
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D,D.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11532 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24800 Lahser Rd
Southfield, MI 48034-3237
Phone: (248) 357-1999
Fax: (248) 357-6014
Street-level locationGet directions
Mailing address
24800 Lahser Rd
Southfield, MI 48034-3237
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2007-07-08
Frequently asked questions
- What is Avis Broussard's NPI number?
- Avis Broussard's National Provider Identifier (NPI) is 1154543833, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Avis Broussard's specialty?
- Avis Broussard is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Avis Broussard located?
- Avis Broussard's practice location on file with NPPES is 24800 Lahser Rd, Southfield, MI 48034-3237.
- What is Avis Broussard's phone number?
- The practice phone number listed in the NPPES registry for Avis Broussard is (248) 357-1999.
- Is Avis Broussard's NPI active?
- Yes — Avis Broussard's NPI (1154543833) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.