PARK AVENUE DENTAL
NPI 1134493653
Dentist - General Practice in Houma, LA

Q: What is Michael J Boudreaux Dds's NPI number?

The NPI number for Michael J Boudreaux Dds is 1134493653. It was assigned to this organization in the NPPES registry on March 1, 2012. The provider is doing business as Park Avenue Dental.

Q: What is Michael J Boudreaux Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since March 01, 2012

6860 W PARK AVE, SUITE A, HOUMA, LA 70364(985) 209-9338 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Park Avenue Dental NPPES

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

PARK AVENUE DENTAL (NPI 1134493653) is a healthcare organization registered as a general practice in Houma, Louisiana and active in the NPI registry since March 2012. The organization lists Michael Joseph Boudreaux, Owner, as its authorized official.

NPPES Registry Identity

NPI1134493653

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMICHAEL J BOUDREAUX DDS

Location Address6860 W PARK AVE, SUITE AHouma, LA 70364-2623

Mailing Address6860 W Park Ave, Suite AHouma, LA 70364-2623 · (985) 209-9338

Phone(985) 209-9338

Organization SubpartNo

Authorized OfficialMichael Joseph BoudreauxOwner · (985) 209-9338

Enumeration DateMarch 1, 2012

✔ NPI 1134493653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in LA · 5906

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6860 W PARK AVE, Houma, LA 70364

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Other Names 1

Doing Business AsPark Avenue Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JULIE ELIZABETH PITRE LMT, NCTMB

Massage Therapist

6860 W PARK AVE, SUITE A
HOUMA, LA 70364

Terrebonne Parish (985) 209-9338

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 Michael J Boudreaux Dds's NPI number?

The NPI number for Michael J Boudreaux Dds is 1134493653. It was assigned to this organization in the NPPES registry on March 1, 2012. The provider is doing business as Park Avenue Dental.

Where is Michael J Boudreaux Dds located?

Michael J Boudreaux Dds is located at 6860 W Park Ave Suite A, Houma, LA 70364. The listed phone number is (985) 209-9338.

What is Michael J Boudreaux Dds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Michael J Boudreaux Dds was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.