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Nicholas Broussard, DDS
NPI 1356918676 · Dentist · Fayetteville, NC
Nicholas Broussard, DDS is a Dentist provider in Fayetteville, NC (NPI 1356918676).
Provider details
- NPI number
- 1356918676
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 12219 (NC)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2029 Valleygate Dr
Fayetteville, NC 28304-3771
Phone: (910) 485-8884
Street-level locationGet directions
Mailing address
2819 Huntington Rd
Fayetteville, NC 28303-5296
Registry dates
- Enumerated
- 2021-06-06
- Last updated
- 2021-06-06
- Certified
- 2021-06-04
Frequently asked questions
- What is Nicholas Broussard's NPI number?
- Nicholas Broussard's National Provider Identifier (NPI) is 1356918676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Broussard's specialty?
- Nicholas Broussard is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Nicholas Broussard located?
- Nicholas Broussard's practice location on file with NPPES is 2029 Valleygate Dr, Fayetteville, NC 28304-3771.
- What is Nicholas Broussard's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Broussard is (910) 485-8884.
- Is Nicholas Broussard's NPI active?
- Yes — Nicholas Broussard's NPI (1356918676) is active in the NPPES registry as of the last update on 2021-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.