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

Nicole Suberville Wascom, DDS

Individual provider Dentist · NPI 1982807632

Nicole Suberville Wascom, DDS is a Dentist in Abita Springs, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2007
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.

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Practice location Address checks out

22464 Highway 435
Abita Springs, LA 70420-2206
Phone: (985) 893-7835
Fax: (985) 893-3867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5288 (LA)

Record details

NPI number1982807632
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 8, 2007
Last updated in NPPESJuly 8, 2007

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