Provider Demographics
NPI:1588011134
Name:DUPLANTIS, BENJAMIN JUDE (DDS)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:JUDE
Last Name:DUPLANTIS
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 1:6067 HIGHWAY 26
Mailing Address - Street 2:
Mailing Address - City:JENNINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70546-8119
Mailing Address - Country:US
Mailing Address - Phone:337-224-9901
Mailing Address - Fax:
Practice Address - Street 1:5000 COMMON ST. STE 2
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607
Practice Address - Country:US
Practice Address - Phone:337-224-9901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6675122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist