GANTT NICHOLSON DEJEAN DDS MS
NPI 1083752422
Dentist - Pediatric Dentistry in Opelousas, LA

Active since February 01, 2007
1604 KERR ST, SUITE 101, OPELOUSAS, LA 70570(337) 948-8253(337) 942-8161 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gantt Nicholson Dejean Dds Ms NPPES

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

GANTT NICHOLSON DEJEAN DDS MS (NPI 1083752422) is an individual pediatric dentistry provider in Opelousas, Louisiana, licensed in Louisiana (2435) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1083752422
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameGANTT NICHOLSON DEJEANCredential: DDS MS
Location Address1604 KERR ST, SUITE 101Opelousas, LA 70570
Mailing Address1604 Kerr St, Suite 101Opelousas, LA 70570 · (337) 948-8253 · Fax (337) 942-8161
Fax(337) 942-8161
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1083752422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in LA · 2435
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1604 KERR ST, Opelousas, LA 70570

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
1604 KERR ST, SUITE 102
OPELOUSAS, LA 70570
Dentist (General Practice)
1604 KERR ST, SUITE 104
OPELOUSAS, LA 70570
Dentist (General Practice)
1604 KERR ST, SUITE 106
OPELOUSAS, LA 70570

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 Gantt Dejean's NPI number?

The NPI number for Gantt Dejean is 1083752422. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Gantt Dejean located?

Gantt Dejean practices at 1604 Kerr St Suite 101, Opelousas, LA 70570. The listed phone number is (337) 948-8253.

What is Gantt Dejean's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Gantt Dejean was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.