| Sr Stonewall | |
|
4974 Highway 3276 Ste G Stonewall LA 71078-9306 | |
| (318) 775-5422 | |
| Not Available |
| Full Name | Sr Stonewall |
|---|---|
| Speciality | Dentist |
| Location | 4974 Highway 3276 Ste G, Stonewall, Louisiana |
| Authorized Official Name and Position | James David Lowder (OWNER/DENTIST) |
| Authorized Official Contact | 3182729835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sr Stonewall 734 N Ashley Ridge Loop Shreveport LA 71106-7209 Ph: (318) 701-8885 | Sr Stonewall 4974 Highway 3276 Ste G Stonewall LA 71078-9306 Ph: (318) 775-5422 |
| NPI Number | 1649116872 |
|---|---|
| Provider Enumeration Date | 04/28/2026 |
| Last Update Date | 04/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649116872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |