Individual provider · Type 1 NPI

Shannon M. Backofen, DDS

Pediatric Dentistry · Shreveport, LA

NPI number 1306075718 Active

Practice location

318 Carroll St
Shreveport, LA 71105-4132

Call (318) 865-2250 Map

Fax (318) 865-3751

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X4600 (LA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

5 other providers at this address

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About NPI 1306075718

Shannon M. Backofen, DDS's National Provider Identifier is 1306075718, issued on Jul 7, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Shreveport, LA. The record was last updated on Jul 7, 2009.