| Pediatric Dentistry Of Shreveport-bossier | |
|
2285 Benton Rd Suite C-100 Bossier City LA 71111-7933 | |
| (318) 742-9333 | |
| (318) 742-1512 |
| Full Name | Pediatric Dentistry Of Shreveport-bossier |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2285 Benton Rd, Bossier City, Louisiana |
| Authorized Official Name and Position | Carol A Lloyd (OFFICE MANAGER) |
| Authorized Official Contact | 3187429333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Shreveport-bossier 2285 Benton Rd Suite C-100 Bossier City LA 71111-7933 Ph: (318) 742-9333 | Pediatric Dentistry Of Shreveport-bossier 2285 Benton Rd Suite C-100 Bossier City LA 71111-7933 Ph: (318) 742-9333 |
| NPI Number | 1851779623 |
|---|---|
| Provider Enumeration Date | 05/13/2015 |
| Last Update Date | 05/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851779623 | NPI | - | NPPES |
| 1822175 | Medicaid | LA | |
| 1864226 | Medicaid | LA | |
| 1864854 | Medicaid | LA |
Bossier Family Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2281 Benton Rd, Bossier City, LA 71111 Phone: 318-742-9852 | |
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Pope W Oden Iii Dds Apdc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2285 Benton Road, D103, Bossier City, LA 71111 Phone: 318-747-7978 Fax: 318-747-7978 | |
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