Organization · Type 2 NPI

Brigham and Brigham Sleep Care

General Practice Dentistry · Bossier City, LA

NPI number 1043869050 Active

Practice location

2281 Benton Rd
Bossier City, LA 71111-3403

Fax (318) 742-2288

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5 other providers at this address

Other general practice dentistry providers in Bossier City

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NPI record

NPI: 1043869050
Entity type: Organization (Type 2)
Issued: Sep 11, 2019
Last updated: Sep 11, 2019
Status: Active
Subpart: Yes of Brigham and Brigham A Professional Dental Corp

Other names

Brigham and Brigham Sleep Care · doing business as

Authorized official

Jenifer S Blythe
Office Manager
(318) 742-9852

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043869050

Brigham and Brigham Sleep Care's National Provider Identifier is 1043869050, issued on Sep 11, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bossier City, LA. The record was last updated on Sep 11, 2019.