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ELLIS D. BRAUD AND FRED A. TENNEY
NPI 1275061079
Dentist - General Practice in Thibodaux, LA

Active since May 24, 2017
810 BAYOU LN, THIBODAUX, LA 70301(985) 446-2888(985) 447-1007 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 9, 2017, May 24, 2017 (3 updates tracked since 2017).

About Ellis D. Braud And Fred A. Tenney NPPES

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

ELLIS D. BRAUD AND FRED A. TENNEY (NPI 1275061079) is a healthcare organization registered as a general practice in Thibodaux, Louisiana and active in the NPI registry since May 2017. The organization lists Ellis David Braud, President, as its authorized official.

NPPES Registry Identity

NPI1275061079
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameELLIS D. BRAUD AND FRED A. TENNEY
Location Address810 BAYOU LNThibodaux, LA 70301-4906
Mailing Address810 Bayou LnThibodaux, LA 70301-4906 · (985) 446-2888 · Fax (985) 447-1007
Phone(985) 446-2888
Fax(985) 447-1007
Organization SubpartNo
Authorized OfficialEllis David BraudPresident · (985) 446-2888
Enumeration DateMay 24, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1275061079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
810 BAYOU LN, Thibodaux, LA 70301
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Other Identifiers 2

Medicaid29633LA
Medicaid29215LA

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 2

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

ACADIA FAMILY DENTISTRY
Clinic/Center (Dental)
810 BAYOU LN
THIBODAUX, LA 70301
Lafourche Parish (985) 303-2920
DR. JARED BRIAN PALMER BSC, DMD
Dentist (General Practice)
810 BAYOU LN
THIBODAUX, LA 70301
Lafourche Parish (985) 446-2888

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 Ellis D. Braud And Fred A. Tenney's NPI number?

The NPI number for Ellis D. Braud And Fred A. Tenney is 1275061079. It was assigned to this organization in the NPPES registry on May 24, 2017.

Where is Ellis D. Braud And Fred A. Tenney located?

Ellis D. Braud And Fred A. Tenney is located at 810 Bayou Ln, Thibodaux, LA 70301. The listed phone number is (985) 446-2888.

What is Ellis D. Braud And Fred A. Tenney'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 Ellis D. Braud And Fred A. Tenney was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.