Individual
DR. JASON THIBODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
508 S 52ND ST, ROGERS, AR 72758-8600
(479) 845-1191
Mailing address
800 CHARITY ST, ABBEVILLE, LA 70510-5239
(337) 893-3443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2025034587
MO
1223G0001X
General Practice Dentistry
6501
LA
1223G0001X
General Practice Dentistry
AR4413
AR
Other
Enumeration date
09/09/2014
Last updated
04/13/2026
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