Organization
ROUNDTREE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MICHAEL ROUNDTREE D.D.S (OWNER)
(985) 446-8821
Entity
Organization
Contact information
Practice address
120 RUE COLETTE, THIBODAUX, LA 70301
(985) 446-8821
(985) 447-7420
Mailing address
120 RUE COLETTE, THIBODAUX, LA 70301
(985) 446-8821
(985) 447-7420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6023
LA
Other
Enumeration date
11/22/2016
Last updated
12/08/2025
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