Fern Avenue Dentistry, Llc

LBN: Fern Avenue Dentistry, Llc
Fern Avenue Dentistry, Llc is an health care organization with primary practice located at 8535 Fern Ave # 2 , Shreveport LA 71105-5656. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Fern Avenue Dentistry, Llc can be contacted via phone (318) 798-3376, or through Broadwell, Brian Kennedy via phone (318) 798-3376.

Contact Information

Primary practice address
8535 Fern Ave # 2 Shreveport LA 71105-5656
Phone: (318) 798-3376
Fax: (318) 798-3310
Website:
Map and Directions
Authorized official contact:
Name: Broadwell, Brian Kennedy Doctor of Dental Surgery (DDS)
Phone: (318) 798-3376

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5313 Louisiana

Profile Details

NPI number 1447469069
LBN Legal business name Fern Avenue Dentistry, Llc
DBA Doing business as
Authorized official Broadwell, Brian Kennedy Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Aug 22nd, 2020 - about 4 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.

Request for update

Popular Providers