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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: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About MELANCON FAMILY DENTISTRY LLC

This page provides the complete NPI Profile along with additional information for Melancon Family Dentistry Llc, a provider established in Broussard, Louisiana operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1063759736 assigned on January 2013. The practitioner's primary taxonomy code is 261QD0000X with license number 5974 (LA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Matthew John Melancon Dds (Owner/dentist)

NPI
1063759736 Verify this NPI
Provider Name
MELANCON FAMILY DENTISTRY LLC
Entity Type
Organization
Location Address
300 W MADISON ST BROUSSARD, LA 70518
Location Phone
(337) 837-1861
Location Fax
(337) 837-1278
Mailing Address
300 W MADISON ST BROUSSARD, LA 70518
Mailing Phone
(337) 837-1861
Mailing Fax
(337) 837-1278
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-14-2013
Last Update Date
01-14-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
5974
License State
LA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MATTHEW JOHN MELANCON DDS

Authorized Official Title
OWNER/DENTIST
Authorized Official Phone
(337) 837-1861

Reviews for MELANCON FAMILY DENTISTRY LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

DR. ROBERT MICHAEL MCKAY D.D.S
Dentist (General Practice)
300 W MADISON ST
BROUSSARD, LA 70518
Lafayette Parish (337) 837-1861
MATTHEW JOHN MELANCON DDS
Dentist (General Practice)
300 W MADISON ST
BROUSSARD, LA 70518
Lafayette Parish (337) 837-1861

Frequently Asked Questions

What is MELANCON FAMILY DENTISTRY LLC's NPI number?

The NPI number assigned to this healthcare provider is 1063759736, enumerated as an "organization" on January 14, 2013.

Where is the provider located?

The provider is located at 300 W MADISON ST BROUSSARD, LA 70518 and the phone number is (337) 837-1861.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.