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

Individual provider Pediatric Dentistry · NPI 1083752422

Gantt Nicholson Dejean, DDSMS is a Pediatric Dentistry in Opelousas, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
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Practice location Address checks out

1604 Kerr St Ste 101
Opelousas, LA 70570
Phone: (337) 948-8253
Fax: (337) 942-8161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2435 (LA)

Record details

NPI number1083752422
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMS
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJuly 8, 2007

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