Provider Demographics
NPI:1992701288
Name:DUGAS, PAUL E (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:E
Last Name:DUGAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59070 AMBER ST
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5334
Mailing Address - Country:US
Mailing Address - Phone:985-641-3245
Mailing Address - Fax:
Practice Address - Street 1:59070 AMBER ST
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5334
Practice Address - Country:US
Practice Address - Phone:985-641-3245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2014-02-05
Deactivation Date:2006-03-15
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
LA50201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice