FERN AVENUE DENTISTRY, LLC 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. FERN AVENUE DENTISTRY, LLC NPI is 1447469069. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
8535 FERN AVE # 2
SHREVEPORT, LA
ZIP 71105-656
Phone: (318) 798-3376
Fax: (318) 798-3310
The provider's authorized official is Brian Kennedy Broadwell .
The authorized official title is Dentist, Owner and has the following contact phone number (318) 798-3376.
The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/22/2020.