IVY DENTAL is a general practice dentist in Shreveport, LA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. IVY DENTAL NPI is 1063792752. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
460 ASHLEY RIDGE BLVD STE 600
SHREVEPORT, LA
ZIP 71106-238
Phone: (318) 868-4188
Fax: (318) 868-9151
The provider's authorized official is Andretta Rrenee Porter-williams .
The authorized official title is Owner and has the following contact phone number (318) 868-4188.
The enumeration date for this NPI number is 8/25/2011 and was last updated on 8/25/2011.