Organization · Type 2 NPI
Fern Avenue Dentistry, LLC
General Practice Dentistry · Shreveport, LA
NPI number
1447469069
Active
Practice location
8535 Fern Ave # 2
Shreveport, LA 71105-5656
Fax (318) 798-3310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 5313 (LA) |
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.
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About NPI 1447469069
Fern Avenue Dentistry, LLC's National Provider Identifier is 1447469069, issued on May 21, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Shreveport, LA. The record was last updated on Aug 22, 2020.