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

RESTORATION DENTAL GROUP LLC

Active Organization

Dental Clinic · SHREVEPORT, LA

Registration Details

NPI Number
1093035081
Provider Type
Organization
NPI Issued
Jun 2, 2010 (15.904985112623 yrs)
Last Updated
Jul 15, 2022
Licenses
6042 (LA)
3384 (LA)

Practice Information

Address
2010 E 70TH ST
SHREVEPORT, LA, 711055306
Browse LA providers · Browse ZIP 71105
Phone
3187971181
Fax
3187971180
Primary Specialty
Dental Clinic
261QD0000X
Additional Specialty
Dental Clinic
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.