| Cuddle Kids Dental Care Of Shreveport, Llc | |
|
2433 E 70th St Suite A Shreveport LA 71105-4787 | |
| (318) 564-0595 | |
| Not Available |
| Full Name | Cuddle Kids Dental Care Of Shreveport, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2433 E 70th St, Shreveport, Louisiana |
| Authorized Official Name and Position | Chrishelle Williams Hemphill (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Contact | 3185640595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cuddle Kids Dental Care Of Shreveport, Llc 2433 E 70th St Suite A Shreveport LA 71105-4787 Ph: (318) 564-0595 | Cuddle Kids Dental Care Of Shreveport, Llc 2433 E 70th St Suite A Shreveport LA 71105-4787 Ph: (318) 564-0595 |
| NPI Number | 1770028946 |
|---|---|
| Provider Enumeration Date | 12/27/2016 |
| Last Update Date | 12/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770028946 | NPI | - | NPPES |
| 1659523348 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 6416 (Louisiana) | Primary |
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