Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicholas Ryan Broussard, DDS

Individual provider Dentist · NPI 1356918676

Dr. Nicholas Ryan Broussard, DDS is a Dentist in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2021.

Licensed in
NC
In the registry since
2021
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

2029 Valleygate Dr
Fayetteville, NC 28304-3771
Phone: (910) 485-8884
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12219 (NC)

Record details

NPI number1356918676
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 6, 2021
Last updated in NPPESJune 6, 2021
Certification dateJune 4, 2021
Mailing address2819 Huntington Rd, Fayetteville, NC 28303-5296

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