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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IVY DENTAL

Active Organization

IVY DENTAL is a General Dentistry organization located in SHREVEPORT, Louisiana. NPI 1063792752 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SHREVEPORT, LA

Registration Details

NPI Number
1063792752
Provider Type
Organization
NPI Issued
Aug 25, 2011 (14.982031236249 yrs)
Last Updated
Aug 25, 2011
License
4645 (LA)

Practice Information

Address
460 ASHLEY RIDGE BLVD STE 600
SHREVEPORT, LA, 711067238
Browse LA providers · Browse ZIP 71106
Phone
3188684188
Fax
3188689151
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.