Individual provider · Type 1 NPI

Billy Melvin Desoto, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Shreveport, LA

NPI number 1124181235 Active

Practice location

2515 Southside Dr
Shreveport, LA 71118-2120

Call (318) 686-6411 Map

Fax (318) 686-5187

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X2098 (LA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1124181235

Billy Melvin Desoto, DDS's National Provider Identifier is 1124181235, issued on Dec 19, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Shreveport, LA. The record was last updated on Jul 8, 2007.