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DR. NICHOLAS RYAN BROUSSARD DDS
NPI 1356918676
Dentist in Fayetteville, NC

Active since June 06, 2021
2029 VALLEYGATE DR, FAYETTEVILLE, NC 28304(910) 485-8884 Get Directions Write a Review

NPPES record last updated: June 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicholas Ryan Broussard Dds NPPES

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

DR. NICHOLAS RYAN BROUSSARD DDS (NPI 1356918676) is an individual dentist in Fayetteville, North Carolina, licensed in North Carolina (12219) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1356918676
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. NICHOLAS RYAN BROUSSARDCredential: DDS
Location Address2029 VALLEYGATE DRFayetteville, NC 28304-3771
Mailing Address2819 Huntington RdFayetteville, NC 28303-5296
Phone(910) 485-8884
Sole ProprietorNo
Enumeration DateJune 6, 2021
NPPES CertifiedJune 4, 2021
✔ NPI 1356918676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · 12219
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2029 VALLEYGATE DR, Fayetteville, NC 28304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

WILLIAM DANA HAITHCOCK M.D.
Obstetrics & Gynecology (Gynecology)
2029 VALLEYGATE DR, SUITE 101
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-2103
DR. LAUREN MICHELLE OXENDINE DMD
Dentist (General Practice)
2029 VALLEYGATE DR, SUITE 201
FAYETTEVILLE, NC 28304
Cumberland County (910) 485-8884
GRANT DOUGLAS WILES D.D.S
Dentist (General Practice)
2029 VALLEYGATE DR, SUITE 201
FAYETTEVILLE, NC 28304
Cumberland County (910) 485-8885
MERIDETH SMITH-WILES DDS
Dentist (General Practice)
2029 VALLEYGATE DR, SUITE 201
FAYETTEVILLE, NC 28304
Cumberland County (910) 485-8884
FAYETTEVILLE WOMANS CARE PA
Obstetrics & Gynecology
2029 VALLEYGATE DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 323-2103
BRUCE WHEELER DMD
Dentist (General Practice)
2029 VALLEYGATE DR, SUITE 201
FAYETTEVILLE, NC 28304
Cumberland County (910) 485-8884
TERRANCE LEE SMITH DDS
Dentist (Prosthodontics)
2029 VALLEYGATE DR, SUITE 201
FAYETTEVILLE, NC 28304
Cumberland County (910) 485-8884
HASIFA GRAHAM
Dentist (General Practice)
2029 VALLEYGATE DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 484-8884

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 Nicholas Broussard's NPI number?

The NPI number for Nicholas Broussard is 1356918676. It was assigned to this individual provider in the NPPES registry on June 6, 2021.

Where is Nicholas Broussard located?

Nicholas Broussard practices at 2029 Valleygate Dr, Fayetteville, NC 28304. The listed phone number is (910) 485-8884.

What is Nicholas Broussard's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Nicholas Broussard accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Nicholas Broussard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Broussard was last updated on June 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.