Pediatric Dentistry Of Shreveport-Bossier

LBN: Dr. Michael Gambill And Dr. David Glass Llc
Pediatric Dentistry Of Shreveport-Bossier is an health care organization with primary practice located at 2285 Benton Rd Suite C-100, Bossier City LA 71111-7933. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Dr. Michael Gambill And Dr. David Glass Llc can be contacted via phone (318) 742-9333, or through Lloyd, Carol A via phone (318) 742-9333.

Contact Information

Primary practice address
2285 Benton Rd Suite C-100 Bossier City LA 71111-7933
Phone: (318) 742-9333
Fax: (318) 742-1512
Website:
Map and Directions
Authorized official contact:
Name: Lloyd, Carol A
Phone: (318) 742-9333

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 6422 Louisiana
Dental Providers / Pediatric Dentistry 1223P0221X 2217 Louisiana
Dental Providers / Pediatric Dentistry 1223P0221X 6485 Louisiana
Dental Providers / Pediatric Dentistry 1223P0221X 6224 Louisiana
Dental Providers / Pediatric Dentistry 1223P0221X 6532 Louisiana

Profile Details

NPI number 1851779623
LBN Legal business name Dr. Michael Gambill And Dr. David Glass Llc
DBA Doing business as Pediatric Dentistry Of Shreveport-Bossier
Authorized official Lloyd, Carol A
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2015
Last updated May 13th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851779623 NPPES
Louisiana MEDICAID 1822175
Louisiana MEDICAID 1864226
Louisiana MEDICAID 1864854

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