Organization · Type 2 NPI

SR Stonewall

Dentist · Stonewall, LA

NPI number 1649116872 Active

Practice location

4974 Highway 3276 Ste G
Stonewall, LA 71078-9306

Mailing address

734 N Ashley Ridge Loop
Shreveport, LA 71106-7209

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

About NPI 1649116872

SR Stonewall's National Provider Identifier is 1649116872, issued on Apr 28, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Stonewall, LA. The record was last updated on Apr 28, 2026.