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ROSS H DIES DDS AND J CODY COWEN DDS A DENTAL LLC NPI 1447360524


NPI Information

NPI: 1447360524
Provider Name: ROSS H DIES DDS AND J CODY COWEN DDS A DENTAL LLC

Doing Business As: SHREVEPORT FAMILY DENTAL CARE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
910 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA
ZIP 71118
Phone: (318) 686-7470
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ROSS H DIES DDS AND J CODY COWEN DDS A DENTAL LLC is a clinic center in Shreveport, LA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ROSS H DIES DDS AND J CODY COWEN DDS A DENTAL LLC NPI is 1447360524. The provider is registered as an organization entity type.
The provider Is Doing Business As Shreveport Family Dental Care.

The provider's business location address is:

910 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA
ZIP 71118
Phone: (318) 686-7470
Fax: (318) 686-4505

The provider's authorized official is Ross Henry Dies .
The authorized official title is General Dentist and has the following contact phone number (318) 686-7470.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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