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MR. RAYMOND EDDIE BROUSSARD DDS
NPI 1558478560
Dentist in Rio Rancho, NM

Active since August 24, 2006
1724 GRANDE BLVD, RIO RANCHO, NM 87124(505) 896-0245(505) 892-7579 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Raymond Eddie Broussard Dds NPPES

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

MR. RAYMOND EDDIE BROUSSARD DDS (NPI 1558478560) is an individual dentist in Rio Rancho, New Mexico, licensed in New Mexico (DD1745) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1558478560
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. RAYMOND EDDIE BROUSSARDCredential: DDS
Location Address1724 GRANDE BLVDRio Rancho, NM 87124
Mailing Address1724 Grande BlvdRio Rancho, NM 87124 · (505) 896-0245 · Fax (505) 892-7579
Phone(505) 896-0245
Fax(505) 892-7579
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1558478560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NM · DD1745
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.
1724 GRANDE BLVD, Rio Rancho, NM 87124
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Other Identifiers 1

Medicaid83918NM

Accepted Insurance

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

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 Raymond Broussard's NPI number?

The NPI number for Raymond Broussard is 1558478560. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Raymond Broussard located?

Raymond Broussard practices at 1724 Grande Blvd, Rio Rancho, NM 87124. The listed phone number is (505) 896-0245.

What is Raymond Broussard's specialty?

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

What insurance does Raymond Broussard accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Raymond 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 Raymond Broussard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.