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

FERN AVENUE DENTISTRY, LLC

Active Organization

FERN AVENUE DENTISTRY, LLC is a General Dentistry organization located in SHREVEPORT, Louisiana. NPI 1447469069 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SHREVEPORT, LA

Registration Details

NPI Number
1447469069
Provider Type
Organization
NPI Issued
May 21, 2007 (19.246876506763 yrs)
Last Updated
Aug 22, 2020
License
5313 (LA)

Practice Information

Address
8535 FERN AVE # 2
SHREVEPORT, LA, 711055656
Browse LA providers · Browse ZIP 71105
Phone
3187983376
Fax
3187983310
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.