IndividualActive
Clayton Charbonnet, D.D.S.
NPI 1366590713 · Orthodontics and Dentofacial Orthopedics Dentistry · Metairie, LA
Provider details
- NPI number
- 1366590713
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2349 (LA)
Specialties & taxonomies
Dental Providers
Practice location
5036 Yale St
Ste 301
Metairie, LA 70006-3980
Phone: (504) 456-7874
Approximate (ZIP-level) locationGet directions
Mailing address
1905 W Thomas St
Hammond, LA 70401-2901
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 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.