IndividualActive
Andre Fruge, DDS
NPI 1891830212 · Orthodontics and Dentofacial Orthopedics Dentistry · Baton Rouge, LA
Provider details
- NPI number
- 1891830212
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 4784 (LA)
Specialties & taxonomies
Dental Providers
Practice location
12061 Bricksome Ave
Baton Rouge, LA 70816-2339
Phone: (225) 292-6991
Fax: (225) 292-7210
Approximate (ZIP-level) locationGet directions
Mailing address
12061 Bricksome Ave
Baton Rouge, LA 70816-2339
Registry dates
- Enumerated
- 2007-02-21
- 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.