IndividualActive
Charles Waguespack, D.D.S.
NPI 1164716569 · General Practice Dentistry · Raceland, LA
Provider details
- NPI number
- 1164716569
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 6170 (LA)
Specialties & taxonomies
Dental Providers
Practice location
109 Johnny Dufrene Dr
Raceland, LA 70394-2611
Phone: (985) 532-5303
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box E
Mathews, LA 70375-0429
Registry dates
- Enumerated
- 2011-06-02
- Last updated
- 2011-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.