MELANCON FAMILY DENTISTRY LLC
NPI 1063759736
Clinic/Center - Dental in Broussard, LA

Active since January 14, 2013
300 W MADISON ST, BROUSSARD, LA 70518(337) 837-1861(337) 837-1278 Get Directions Write a Review

NPPES record last updated: January 14, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melancon Family Dentistry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELANCON FAMILY DENTISTRY LLC (NPI 1063759736) is a healthcare organization registered as a dental in Broussard, Louisiana and active in the NPI registry since January 2013. The organization lists Matthew John Melancon, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1063759736
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMELANCON FAMILY DENTISTRY LLC
Location Address300 W MADISON STBroussard, LA 70518-4518
Mailing Address300 W Madison StBroussard, LA 70518-4518 · (337) 837-1861 · Fax (337) 837-1278
Fax(337) 837-1278
Organization SubpartNo
Authorized OfficialMatthew John MelanconOwner/dentist · (337) 837-1861
Enumeration DateJanuary 14, 2013
NPI 1063759736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in LA · 5974
300 W MADISON ST, Broussard, LA 70518

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
300 W MADISON ST
BROUSSARD, LA 70518
Dentist (General Practice)
300 W MADISON ST
BROUSSARD, LA 70518

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melancon Family Dentistry LLC's NPI number?

The NPI number for Melancon Family Dentistry LLC is 1063759736. It was assigned to this organization in the NPPES registry on January 14, 2013.

Where is Melancon Family Dentistry LLC located?

Melancon Family Dentistry LLC is located at 300 W Madison St, Broussard, LA 70518. The listed phone number is (337) 837-1861.

What is Melancon Family Dentistry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Melancon Family Dentistry LLC was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.