Organization · Type 2 NPI

Council for Advancement of Social Service and Education

General Practice Dentistry · Shreveport, LA

NPI number 1447337787 Active

Practice location

2120 Bert Kouns Industrial Loop Ste B
Shreveport, LA 71118-3351

Call (318) 688-3350 Map

Fax (318) 688-3655

Mailing address

2120 Bert Kouns Industrial Loop Ste A
Shreveport, LA 71118-3351

Specialties and licenses

Taxonomy	Code	License
Psychologist	103T00000X	None listed
Social Worker	104100000X	None listed
General Practice Dentistry Primary	1223G0001X	3665 (LA)
General Practice Physician	208D00000X	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.

Other general practice dentistry providers in Shreveport

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NPI record

NPI: 1447337787
Entity type: Organization (Type 2)
Issued: Nov 1, 2006
Last updated: Oct 18, 2023
Status: Active
Subpart: Yes of Council for Advancement of Social Service and Education

Other names

<unavail>
Chi - Caddo · doing business as
Chi - Caddo · doing business as

Authorized official

Mrs. Mary Madden Chumley
Executive Director
(318) 688-3350

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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 1447337787

Council for Advancement of Social Service and Education's National Provider Identifier is 1447337787, issued on Nov 1, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shreveport, LA. The record was last updated on Oct 18, 2023.